Active NPIIndividual provider

Dr. Courtney M Mattiace, PSYD

Psychologist, Clinical in Milford, Connecticut

NPI Number1952743965
Practice location
57 Cherry St, Milford, CT 06460-3414
Fax
203-271-1800
Last updated
July 19, 2013

Courtney Marie Mattiace is a Psychologist, Clinical based in Milford, CT. Courtney Marie Mattiace practices in Milford, CT and has the professional credentials of PSYD. The NPI Number for Courtney Marie Mattiace is 1952743965 and holds a License No. 003272 (CT). The current practice location address for Courtney Marie Mattiace is 57 Cherry St, Milford, CT 06460-3414 and can be reached out via phone at 203-271-1430 and via fax at 203-271-1800.

Provider Profile Details

NPI Number
1952743965
Provider Name
Courtney Marie Mattiace
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
57 Cherry St, Milford, CT 06460-3414
Phone Number
203-271-1430
Fax Number
203-271-1800
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
July 19, 2013
Last Update Date
July 19, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
57 Cherry St
Milford, CT 06460-3414
Zip
06460-3414
Phone Number
203-271-1430
Fax Number
203-271-1800
Milford, CT 06460Get directions →

Provider Business Mailing Address Details

Address
673 S Main St
Cheshire, CT 06410-3149
City
Cheshire
State
CT
Zip
06410-3149
Phone Number
203-271-1430
Fax Number
203-271-1800

License Information

License Number
003272
License State
CT
Taxonomy
Psychologist, Clinical · 103TC0700X · 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 Dr. Courtney M Mattiace, PSYD?

The NPI number of Dr. Courtney M Mattiace, PSYD is 1952743965. It was assigned on July 19, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Courtney M Mattiace, PSYD?

Dr. Courtney M Mattiace, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 003272.

Where does Dr. Courtney M Mattiace, PSYD practice?

The practice location is 57 Cherry St, Milford, CT 06460-3414. The office can be reached at 203-271-1430 (phone) or 203-271-1800 (fax).

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 1952743965 directly on the NPPES registry website.

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