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MRS. LISA MATTOON SPECIAL ED. TEACHER
NPI 1104188242
Specialist in Newark, NY

Active since June 14, 2012
848 PEIRSON AVE, NEWARK, NY 14513(315) 331-2086(315) 331-3215 Get Directions Write a Review

NPPES record last updated: June 14, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Lisa Mattoon Special Ed. Teacher NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA MATTOON SPECIAL ED. TEACHER (NPI 1104188242) is an individual specialist in Newark, New York and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1104188242
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. LISA MATTOONCredential: SPECIAL ED. TEACHER
Location Address848 PEIRSON AVENewark, NY 14513-9762
Mailing Address848 Peirson AveNewark, NY 14513-9762 · (315) 331-2086 · Fax (315) 331-3215
Phone(315) 331-2086
Fax(315) 331-3215
Sole ProprietorYes
Enumeration DateJune 14, 2012
✔ NPI 1104188242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
848 PEIRSON AVE, Newark, NY 14513
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL DESAIN RN
Registered Nurse
848 PEIRSON AVE
NEWARK, NY 14513
Wayne County (315) 331-2086
JENNIFER THOMSON
Speech-Language Pathologist
848 PEIRSON AVE
NEWARK, NY 14513
Wayne County (315) 331-2086
REBECCA LYNN HAMILTON
Specialist
848 PEIRSON AVE
NEWARK, NY 14513
Wayne County (315) 331-2086
SUSANNAH REAFSNYDER
Specialist
848 PEIRSON AVE
NEWARK, NY 14513
Wayne County (315) 331-2086
JACQLYNN HALSTEAD MA/AC
Psychologist (School)
848 PEIRSON AVE
NEWARK, NY 14513
Wayne County (315) 331-2086
MRS. JANICE LYNN GIBALA-BROXHOLM CCC/LIC
Speech-Language Pathologist
848 PEIRSON AVE
NEWARK, NY 14513
Wayne County (315) 331-2086
MRS. LOUISE JONES
Psychologist (School)
848 PEIRSON AVE
NEWARK, NY 14513
Wayne County (315) 331-2086
LINDSEY FITZGERALD
Specialist
848 PEIRSON AVE
NEWARK, NY 14513
Wayne County (315) 331-2086

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Mattoon's NPI number?

The NPI number for Lisa Mattoon is 1104188242. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Lisa Mattoon located?

Lisa Mattoon practices at 848 Peirson Ave, Newark, NY 14513. The listed phone number is (315) 331-2086.

What is Lisa Mattoon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lisa Mattoon was last updated on June 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.