Individual
DR. YARELIS MATOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
ONE PEARL STREET, SUITE 2000, BROCKTON, MA 02301-2865
(508) 894-8577
(508) 894-8578
Mailing address
ONE PEARL STREET, SUITE 2000, BROCKTON, MA 02301-2865
(508) 894-8577
(508) 894-8578
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8034
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1859862
—
MA
Enumeration date
03/08/2006
Last updated
07/09/2007
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