NPI 1013103571
Jessica a Matyka, LCSW
Practice location
- Address
- 883 Paddock Ave, Meriden, CT 06450-7044
- Phone
- (203) 634-7416
- Fax
- (203) 630-5335
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1013103571
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Sep 2007
- Record last updated
- 9 Oct 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.