| Doctor Name: | KATHERINE ELIZABETH MATTSON |
| NPI Number: | 1104071331 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | |
| Business Practice Address: | 701 Decatur Ave. N Suite 109 Golden Valley, MN - 55427 |
| Business Phone Number: | 7637462400 |
| Business Fax Number: | 7637462401 |
| Mailing Address: | 701 Decatur Ave N, Suite 109 GOLDEN VALLEY |
| State: | MN |
| Postal Code: | 554274367 |
| Phone Number: | 7637462400 |
| Fax Number: | 7637462401 |
| NPI Enumeration Date: | 12/02/2008 |
| NPI Last Update Date: | 11/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |