| Doctor Name: | SHERRY STAPP MATTOS |
| NPI Number: | 1023283801 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | MH7519 |
| Business Practice Address: | 1350 N Orange Ave Suite 200 Winter Park, FL - 327894945 |
| Business Phone Number: | 4076444367 |
| Business Fax Number: | 4076221200 |
| Mailing Address: | 1350 N Orange Ave, Suite 200 WINTER PARK |
| State: | FL |
| Postal Code: | 327894945 |
| Phone Number: | 4076444367 |
| Fax Number: | 4076221200 |
| NPI Enumeration Date: | 04/23/2008 |
| NPI Last Update Date: | 07/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | MH7519 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |