Doctor Name: | MATTHEW ROBERTO |
NPI Number: | 1033533294 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 002379 |
Business Practice Address: | 1525 Kings Hwy Suite 206 Fairfield, CT - 068245321 |
Business Phone Number: | 2032206595 |
Business Fax Number: | |
Mailing Address: | 1525 Kings Hwy, Suite 206 FAIRFIELD |
State: | CT |
Postal Code: | 068245321 |
Phone Number: | 2032206595 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2014 |
NPI Last Update Date: | 02/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 002379 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |