Individual
MRS. TRACI S. MATTERESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. C.A.S.
Contact information
Practice address
623 NEW LOUDON ROAD, LATHAM, NY 12110
(518) 782-1178
(518) 782-3334
Mailing address
623 NEW LOUDON ROAD, LATHAM, NY 12110
(518) 782-1178
(518) 782-3334
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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