| Doctor Name: | MS. DEBRA SARCH MATRICK |
| NPI Number: | 1497770358 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW, DCSW |
| License Number: | CW008764L |
| Business Practice Address: | 1101 Rte 390 Suite 102 Cresco, PA - 18326 |
| Business Phone Number: | 5705950943 |
| Business Fax Number: | 5705950969 |
| Mailing Address: | Po Box 108, Route 390 MOUNTAINHOME |
| State: | PA |
| Postal Code: | 183420108 |
| Phone Number: | 5705950943 |
| Fax Number: | 5705950969 |
| NPI Enumeration Date: | 07/13/2006 |
| NPI Last Update Date: | 05/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CW008764L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |