National Provider Identifier
Daniel Edward Matusiewicz, TH.M.
Daniel Edward Matusiewicz, TH.M. is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Ithaca, NY and a listed phone number of (607) 257-6320.
Profile Overview
- NPI
- 1275830952
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- February 16, 2011
- Last Updated
- February 16, 2011
Practice Location
- 201 Dey St
- Suite 210
- Ithaca, NY 14850-3571
Phone: (607) 257-6320
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1275830952
- Entity Type
- Individual
- Last Name
- Matusiewicz
- First Name
- Daniel
- Middle Name
- Edward
- Name Prefix
- Mr.
- Credential
- TH.M.
- Mailing Street Address
- 201 Dey St
- Mailing Address Line 2
- Suite 210
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3571
- Mailing Country
- US
- Mailing Phone
- (607) 257-6320
- Mailing Fax
- (607) 273-6442
- Practice Street Address
- 201 Dey St
- Practice Address Line 2
- Suite 210
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3571
- Practice Country
- US
- Practice Phone
- (607) 257-6320
- Practice Fax
- (607) 273-6442
- Enumeration Date
- February 16, 2011
- Last Updated
- February 16, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)