Healthcare Provider Details

I. General information

NPI: 1093355893
Provider Name (Legal Business Name): CHELSEA MATTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2020
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 OXFORD VALLEY RD STE 603A
YARDLEY PA
19067-7712
US

IV. Provider business mailing address

PO BOX 846
MORRISVILLE PA
19067-0846
US

V. Phone/Fax

Practice location:
  • Phone: 215-586-3102
  • Fax: 215-618-2331
Mailing address:
  • Phone: 215-586-3102
  • Fax: 215-618-2331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: