Individual
DR. JOHN E MATUSZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
363 PARK ROAD, WEST HARTFORD, CT 06119-1918
(860) 559-0975
Mailing address
363 PARK ROAD, WEST HARTFORD, CT 06119-1918
(860) 559-0975
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001379
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060001379CT02
ANTHEM BCBS
CT
Enumeration date
11/01/2006
Last updated
09/14/2011
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