Provider Demographics
NPI:1386854156
Name:MATHEWSON, CECILIA THONI (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:THONI
Last Name:MATHEWSON
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-9739
Mailing Address - Country:US
Mailing Address - Phone:413-253-9511
Mailing Address - Fax:
Practice Address - Street 1:44 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:BELCHERTOWN
Practice Address - State:MA
Practice Address - Zip Code:01007-9739
Practice Address - Country:US
Practice Address - Phone:413-253-9511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist