Provider Demographics
NPI:1275927139
Name:MATTERN, AMY (DO)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:
Last Name:MATTERN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9435 WATERSTONE BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-8229
Mailing Address - Country:US
Mailing Address - Phone:513-828-0285
Mailing Address - Fax:888-815-3583
Practice Address - Street 1:9435 WATERSTONE BLVD STE 140
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-8229
Practice Address - Country:US
Practice Address - Phone:513-828-0285
Practice Address - Fax:888-815-3583
Is Sole Proprietor?:No
Enumeration Date:2015-03-27
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY3196862084P0800X
OH34.0136452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry