Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Teresa Mattutat

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1801636576

Teresa Mattutat is an Addiction (Substance Use Disorder) Counselor in Deer Park, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

770 Grand Blvd
Deer Park, NY 11729-5750
Phone: (631) 392-4357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (NY)

Record details

NPI number1801636576
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

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