Active NPIIndividual providerSole proprietor

Matilda Commodore

Counselor, Mental Health in Westampton, New Jersey

NPI Number1366085987
Practice location
770 Woodlane RD, Westampton, NJ 08060-3804
Fax
—
Last updated
October 26, 2019

Matilda Commodore is a Counselor, Mental Health based in Westampton, NJ. Matilda Commodore practices in Westampton, NJ. The NPI Number for Matilda Commodore is 1366085987. The current practice location address for Matilda Commodore is 770 Woodlane RD, Westampton, NJ 08060-3804 and can be reached out via phone at 609-267-5928.

Provider Profile Details

NPI Number
1366085987
Provider Name
Matilda Commodore
Provider Entity Type
Individual
Gender
Female
Address
770 Woodlane RD, Westampton, NJ 08060-3804
Phone Number
609-267-5928
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
October 26, 2019
Last Update Date
October 26, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
770 Woodlane RD
Westampton, NJ 08060-3804
Zip
08060-3804
Phone Number
609-267-5928
Westampton, NJ 08060Get directions →

Provider Business Mailing Address Details

Address
770 Woodlane RD
Westampton, NJ 08060-3804
City
Westampton
State
NJ
Zip
08060-3804
Phone Number
609-267-5928

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Matilda Commodore?

The NPI number of Matilda Commodore is 1366085987. It was assigned on October 26, 2019 and is currently active in the NPPES registry.

What is the specialty of Matilda Commodore?

Matilda Commodore is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Matilda Commodore practice?

The practice location is 770 Woodlane RD, Westampton, NJ 08060-3804. The office can be reached at 609-267-5928 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366085987 directly on the NPPES registry website.

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