Provider Demographics
NPI:1366659419
Name:MATUZAK, CYNTHIA MARIE (CDDTP)
Entity Type:Individual
Prefix:MISS
First Name:CYNTHIA
Middle Name:MARIE
Last Name:MATUZAK
Suffix:
Gender:F
Credentials:CDDTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1087 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-4047
Mailing Address - Country:US
Mailing Address - Phone:562-433-2044
Mailing Address - Fax:
Practice Address - Street 1:1087 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-4047
Practice Address - Country:US
Practice Address - Phone:562-433-2044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)