Provider Demographics
NPI:1881030740
Name:KRAUS, MATTHEW CHARLES (MPH, LPC, LMHC, LCAT)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:CHARLES
Last Name:KRAUS
Suffix:
Gender:M
Credentials:MPH, LPC, LMHC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 BEAVER BROOK RD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-6239
Mailing Address - Country:US
Mailing Address - Phone:203-743-7574
Mailing Address - Fax:
Practice Address - Street 1:60 BEAVER BROOK RD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6239
Practice Address - Country:US
Practice Address - Phone:203-743-7574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-20
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005057101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health