MARY MATESE LPA NPI 1295061182

NPI Information

NPI: 1295061182
Provider Name: MARY MATESE, LPA
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

Address:
66 CLUB RD STE 120
EUGENE, OR
ZIP 97401
Phone: (541) 393-5983
Get Directions

Mary Matese, LPA is a cognitive and behavioral psychologist in Eugene, OR. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. Mary Matese, LPA NPI is 1295061182. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

66 CLUB RD STE 120
EUGENE, OR
ZIP 97401
Phone: (541) 393-5983
Fax: (541) 393-5984

The enumeration date for this NPI number is 10/27/2009 and was last updated on 2/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103K00000X	Behavior Analyst				No
2	103TB0200X	Psychologist	Cognitive & Behavioral	5065	OREGON	Yes
3	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	5065	OREGON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500719639	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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