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Individual

MR. MATTHEW MAYNARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A. MFT

Contact information

Practice address
91 EDISON ST, WYCKOFF, NJ 07481-2726
(978) 413-5142
Mailing address
91 EDISON ST, WYCKOFF, NJ 07481-2726
(978) 413-5142

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1708
CT
106H00000X
Marriage & Family Therapist
37FI00179800
NJ

Other

Enumeration date
10/07/2014
Last updated
12/08/2025
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