MRS. Lisa Mattoon, SPECIAL ED. TEACHER

NPI #1104188242 in Newark, New York

Provider Information

NPI Number: 1104188242
Entity Type: Individual
Name: MRS. Lisa Mattoon, SPECIAL ED. TEACHER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: SPECIAL ED. TEACHER
Enumeration Date: Jun 14, 2012
Last Updated: Jun 14, 2012

Practice Location

Address: 848 PEIRSON AVE
City: Newark
State: New York
ZIP Code: 14513-9762
Phone: (315) 331-2086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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