Provider Demographics
NPI:1659128247
Name:BARS, MATTHEW PETER (MS, CTTS, CPAHA-TT)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:PETER
Last Name:BARS
Suffix:
Gender:M
Credentials:MS, CTTS, CPAHA-TT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 INDIAN HOLLOW CT
Mailing Address - Street 2:
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-2276
Mailing Address - Country:US
Mailing Address - Phone:201-960-9906
Mailing Address - Fax:201-962-3143
Practice Address - Street 1:163 INDIAN HOLLOW CT
Practice Address - Street 2:
Practice Address - City:MAHWAH
Practice Address - State:NJ
Practice Address - Zip Code:07430-2276
Practice Address - Country:US
Practice Address - Phone:201-960-9906
Practice Address - Fax:201-962-3143
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ733101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health