Provider Demographics
NPI:1700030798
Name:MATTHYS, DARCY CHERIE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DARCY
Middle Name:CHERIE
Last Name:MATTHYS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 HARBOR POINTE DR
Mailing Address - Street 2:
Mailing Address - City:HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10927-2102
Mailing Address - Country:US
Mailing Address - Phone:845-429-2127
Mailing Address - Fax:
Practice Address - Street 1:12 HARBOR POINTE DR
Practice Address - Street 2:
Practice Address - City:HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10927-2102
Practice Address - Country:US
Practice Address - Phone:845-429-2127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012486-1235Z00000X
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist