Provider Demographics
NPI:1578838512
Name:MATTHEWS, DEBORAH (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 STRAWBERRY HILL AVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-2762
Mailing Address - Country:US
Mailing Address - Phone:203-904-4218
Mailing Address - Fax:
Practice Address - Street 1:91 STRAWBERRY HILL AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-2762
Practice Address - Country:US
Practice Address - Phone:203-904-4218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022773103TC0700X
CT002222103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical