| Doctor Name: | MR. MATTHEW NORDENHOLD |
| NPI Number: | 1013350024 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | 991184 |
| Business Practice Address: | 30a Washington Pl E White Plains, NY - 106031715 |
| Business Phone Number: | 9148863415 |
| Business Fax Number: | |
| Mailing Address: | 30a Washington Pl E, WHITE PLAINS |
| State: | NY |
| Postal Code: | 106031715 |
| Phone Number: | 9148863415 |
| Fax Number: | |
| NPI Enumeration Date: | 04/09/2013 |
| NPI Last Update Date: | 04/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 991184 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |