Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Fanetti

Individual provider Clinical Psychologist · NPI 1124488119

Matthew Fanetti is a Clinical Psychologist in Springfield, Missouri. Practices as a sole proprietor. Licensed in California and Nevada.

Licensed in
CA, NV
In the registry since
2016
Specialties on file
2

Practice location Address checks out

3219 S Westwood Ave
Springfield, MO 65807-5624
Phone: (417) 882-9423
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 32382 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY0962 (NV)

Record details

NPI number1124488119
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 3, 2016
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023
Mailing address7280 Timber Ridge Ct, Reno, NV 89523-7165

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