Provider Demographics
NPI:1215224654
Name:DEMATTEO, AMBER MARIE (LMHC, NCC, MS)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:MARIE
Last Name:DEMATTEO
Suffix:
Gender:F
Credentials:LMHC, NCC, MS
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:MARIE
Other - Last Name:KUNITSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:816 ORANGEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-5450
Mailing Address - Country:US
Mailing Address - Phone:814-746-2742
Mailing Address - Fax:
Practice Address - Street 1:816 ORANGEWOOD CT
Practice Address - Street 2:
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-5450
Practice Address - Country:US
Practice Address - Phone:814-746-2742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008039101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health