Individual
ANGELA MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5110 12TH AVE, BROOKLYN, NY 11219-3424
(800) 275-3243
(800) 275-3671
Mailing address
5110 12TH AVE, BROOKLYN, NY 11219-3424
(800) 275-3243
(800) 275-3671
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011674
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02710745
—
NY
01
—
585169
VALUE OPTIONS
NY
Enumeration date
10/18/2006
Last updated
07/08/2007
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