Individual
YESENIA MERCEDES MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 SOUTH ST UNIT 93, DANBURY, CT 06810-7960
(347) 981-9189
Mailing address
163 SOUTH ST UNIT 93, DANBURY, CT 06810-7960
(347) 981-9189
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1499644211
NY
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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