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

Tammy Matvichuk

Individual provider Psychologist · NPI 1871384339

Tammy Matvichuk is a Psychologist in Kentwood, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

3230 Broadmoor Ave SE Ste D
Kentwood, MI 49512-8180
Phone: (616) 821-4211
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6362010012 (MI)

Record details

NPI number1871384339
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedMay 14, 2025
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing address3230 Broadmoor Ave Se Ste D, Kentwood, MI 49512-8180

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