Individual
MICHELLE CATHERINE MATIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
6000 W RAYFORD RD APT 5208, SPRING, TX 77389-2221
(845) 321-1813
Mailing address
6000 W RAYFORD RD APT 5208, SPRING, TX 77389-2221
(845) 321-1813
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
9504039
PA
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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