DR. COURTNEY MARIE MATTIACE (NPI# 1952743965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952743965 |
Entity Type | Individual |
Full Name | DR. COURTNEY MARIE MATTIACE |
Credential | PSY.D. |
Practice Address |
57 Cherry St Milford CT 06460-3414 |
Mailing Address |
673 S Main St Cheshire CT 06410-3149 |
Practice Telephone | 2032711430 |
Practice Fax Number | 2032711800 |
Mailing Telephone | 2032711430 |
Mailing Fax Number | 2032711800 |
Enumeration Date | 2013-07-19 |
Last Update Date | 2013-07-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
003272 | CT | Behavioral Health & Social Service Providers |
Street Address |
57 CHERRY ST |
City | MILFORD |
State | CT |
Zip Code | 06460-3414 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
Find all providers in zip 06460 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396359154 | Theresa Mary Brasier | Psychologist | 25 Birch St Ste A, Milford, MA 01757-3585 | 2020-08-31 |
1497129811 | Joy Zelikovsky | Psychologist | 55 Botsford Ave, Milford, CT 06460-5804 | 2015-11-23 |
1679973994 | Jcp Psychological Services P.C. | Psychologist | 7 Deerfield Ave, Milford, CT 06460-7317 | 2014-08-25 |
1730426768 | Natalie Jo Sandbulte | Psychologist | 910 10th St, Milford, IA 51351-1530 | 2013-01-10 |
1720219512 | Beyer and Associates Psychological Services | Psychologist | 1562 Hunters Lake Ct, Milford, MI 48380-3250 | 2009-07-28 |
1639341605 | Kimberly A. Massey | Psychologist | 57 Plains Rd Ste 2c, Milford, CT 06461-2573 | 2008-03-30 |
1548304959 | Jean M Wiedholz | Psychologist | 204 E Harford St, Milford, PA 18337-1004 | 2007-02-18 |
1437243284 | Michael Faff | Psychologist | 1800 N Milford Rd, Suite 100, Milford, MI 48381-1047 | 2006-10-03 |
1912004581 | Annette Renee Evans | Psychologist | 1042 N Milford Rd Ste 203, Milford, MI 48381-5109 | 2006-09-17 |
1891701215 | Lisa Kay Edlin | Psychologist | 409 Fortune Blvd, Milford, MA 01757-1741 | 2006-07-31 |
Find all providers in MILFORD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.