Doctor Name: | MS. KATHERINE C MATTLEMAN |
NPI Number: | 1679804041 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 44SC05413000 |
Business Practice Address: | 607 N Jerome Ave Margate City, NJ - 084021527 |
Business Phone Number: | 6098221107 |
Business Fax Number: | 6098221108 |
Mailing Address: | 607 N Jerome Ave, MARGATE CITY |
State: | NJ |
Postal Code: | 084021527 |
Phone Number: | 6098221107 |
Fax Number: | 6098221108 |
NPI Enumeration Date: | 01/25/2010 |
NPI Last Update Date: | 01/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05413000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |