Healthcare Provider Details

I. General information

NPI: 1366314593
Provider Name (Legal Business Name): MATTHEW HUFFMAN LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 WESTCHESTER AVE STE 2-B
PORT CHESTER NY
10573-3600
US

IV. Provider business mailing address

420 WESTCHESTER AVE STE 2-B
PORT CHESTER NY
10573-3600
US

V. Phone/Fax

Practice location:
  • Phone: 914-639-1184
  • Fax:
Mailing address:
  • Phone: 914-639-1184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number002169
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: