| Doctor Name: | GEORGIA LEE MATT |
| NPI Number: | 1386952190 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 1593 |
| Business Practice Address: | 760 Hospital Circle Browning, MT - 59417 |
| Business Phone Number: | 4063386425 |
| Business Fax Number: | 4063386294 |
| Mailing Address: | Po Box 760, BROWNING |
| State: | MT |
| Postal Code: | 594170760 |
| Phone Number: | 4063386425 |
| Fax Number: | 4063386294 |
| NPI Enumeration Date: | 09/15/2010 |
| NPI Last Update Date: | 07/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1593 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |