Whalio Doctors

NPI 1013103571

Jessica a Matyka, LCSW

Practitioner Clinical Social Worker Meriden, CT

Practice location

Address
883 Paddock Ave, Meriden, CT 06450-7044
Phone
(203) 634-7416
Fax
(203) 630-5335

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 7817 (CT)

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.