Individual
MIRIAM RICHTER MATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
545 BECKETT RD, SUITE 207, SWEDESBORO, NJ 08085-1547
(856) 467-1000
(856) 467-1150
Mailing address
6 HUMPHREYS AVE, PENNSVILLE, NJ 08070-1116
(856) 467-1000
(856) 467-1150
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
5117
NJ
103G00000X
Clinical Neuropsychologist
PS015665
PA
Other
Enumeration date
01/16/2007
Last updated
10/01/2013
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