National Provider Identifier
Stefanie Marie Matta
Stefanie Marie Matta is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 895-6700.
Profile Overview
- NPI
- 1639787344
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- July 20, 2020
- Last Updated
- July 20, 2020
Practice Location
- 1131 Broadway St
- Buffalo, NY 14212-1501
Phone: (716) 895-6700
Mailing Address
- 148 Sanders RD Apt 5
- Buffalo, NY 14216-1358
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1639787344
- Entity Type
- Individual
- Last Name
- Matta
- First Name
- Stefanie
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Mailing Street Address
- 148 Sanders RD Apt 5
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14216-1358
- Mailing Country
- US
- Practice Street Address
- 1131 Broadway St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14212-1501
- Practice Country
- US
- Practice Phone
- (716) 895-6700
- Enumeration Date
- July 20, 2020
- Last Updated
- July 20, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 20, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)