Provider Demographics
NPI:1134325038
Name:DAY, MATTHEW STEPHEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:STEPHEN
Last Name:DAY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 SAINT JOHNS PL
Mailing Address - Street 2:UNIT 1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-3205
Mailing Address - Country:US
Mailing Address - Phone:917-399-9263
Mailing Address - Fax:718-997-5248
Practice Address - Street 1:33 SAINT JOHNS PL
Practice Address - Street 2:UNIT 1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-3205
Practice Address - Country:US
Practice Address - Phone:917-399-9263
Practice Address - Fax:718-997-5248
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003176101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health