Provider Demographics
NPI:1235367707
Name:MATO, DANA (PSYD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:MATO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:OHOYT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 391
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59806-0391
Mailing Address - Country:US
Mailing Address - Phone:065-447-5244
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 391
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59806-0391
Practice Address - Country:US
Practice Address - Phone:406-544-7524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT4030103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty