Individual
MS. PHYLLIS J. MATTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW LADC
Contact information
Practice address
110 N MERCEDES DR STE 400, NORMAN, OK 73069-6468
(405) 329-1615
(405) 872-0761
Mailing address
110 N MERCEDES DR STE 400, NORMAN, OK 73069-6468
(405) 329-1615
(405) 872-0761
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
#50
OK
1041C0700X
Clinical Social Worker
#1515
OK
Other
Enumeration date
07/22/2006
Last updated
09/11/2025
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