MEDICARE: MATTHEW REILAND PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	5245-57	WI

General Provider Information

NPI Number	:	1154873958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW REILAND PH.D.

Provider Business Mailing Address
First Line	:	1314 S 1ST ST # 108
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-2405
Country	:	US
Telephone Number	:	414-336-8484
Fax Number	:

Provider Business Practice Location Address
First Line	:	1314 S 1ST ST # 108
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-2405
Country	:	US
Telephone Number	:	414-336-8484
Fax Number	:	414-432-2531

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2016
Last Update Date	:	06/02/2025

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Directions to “ MATTHEW REILAND PH.D.” Practice Location

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