Provider Demographics
NPI:1033898739
Name:MATTHEWS CAVALIERI, MAURA ADEL (LGPC)
Entity Type:Individual
Prefix:
First Name:MAURA
Middle Name:ADEL
Last Name:MATTHEWS CAVALIERI
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:MAURA
Other - Middle Name:ADEL
Other - Last Name:MATTHEWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 SEYMOUR AVE
Mailing Address - Street 2:
Mailing Address - City:ST MICHAELS
Mailing Address - State:MD
Mailing Address - Zip Code:21663-2930
Mailing Address - Country:US
Mailing Address - Phone:410-822-8724
Mailing Address - Fax:833-454-1985
Practice Address - Street 1:100 SEYMOUR AVE
Practice Address - Street 2:
Practice Address - City:ST MICHAELS
Practice Address - State:MD
Practice Address - Zip Code:21663-2930
Practice Address - Country:US
Practice Address - Phone:410-822-8724
Practice Address - Fax:833-454-1985
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP14236101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional