| Doctor Name: | MIRIAM RICHTER MATZ |
| NPI Number: | 1154472132 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | PS015665 |
| Business Practice Address: | 545 Beckett Rd Suite 207 Swedesboro, NJ - 080851547 |
| Business Phone Number: | 8564671000 |
| Business Fax Number: | 8564671150 |
| Mailing Address: | 6 Humphreys Ave, PENNSVILLE |
| State: | NJ |
| Postal Code: | 080701116 |
| Phone Number: | 8564671000 |
| Fax Number: | 8564671150 |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 10/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | PS015665 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |