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Individual
DR. PATRICIA D DEMATTEO
Active
Individual
DR. PATRICIA D DEMATTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD LCSW BCD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PRO243191
NY
103T00000X
Psychologist
SCO 1393
NJ
1041C0700X
Clinical Social Worker
Primary
PRO243191
NY
1041C0700X
Clinical Social Worker
SCO 1393
NJ
Other
Enumeration date
02/22/2007
Last updated
10/04/2010
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