Individual
MS. GRACE ANDREE MATTHESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, SDL
Contact information
Practice address
426 RIVER AVE, PELHAM, NY 10803-1110
(646) 938-3239
Mailing address
426 RIVER AVE, PELHAM, NY 10803-1110
(646) 938-3239
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
932228049
GHI
NY
Enumeration date
05/24/2013
Last updated
05/24/2013
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