Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jimmy Lee Matto-Shepard, PHD

Individual provider Psychologist · NPI 1205036357

Jimmy Lee Matto-Shepard, PHD is a Psychologist in Petaluma, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1 Bodega Ave Ste #4
Petaluma, CA 94952-2666
Phone: (707) 762-1670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY15031 (CA)

Record details

NPI number1205036357
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 18, 2007
Last updated in NPPESJuly 18, 2007

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