Provider Demographics
NPI:1003530411
Name:PUTTS, MATTHEW (PHD, LPC, LRC)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:PUTTS
Suffix:
Gender:M
Credentials:PHD, LPC, LRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 UNIVERSITY PLZ STE 302
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-6205
Mailing Address - Country:US
Mailing Address - Phone:201-343-0700
Mailing Address - Fax:
Practice Address - Street 1:1 UNIVERSITY PLZ STE 302
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-6205
Practice Address - Country:US
Practice Address - Phone:201-343-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-29
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor