Provider Demographics
NPI:1447698063
Name:MATTEODO, EMILY FLIER (MD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:FLIER
Last Name:MATTEODO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:35 BEDFORD STREET
Mailing Address - Street 2:SUITE #6
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-4439
Mailing Address - Country:US
Mailing Address - Phone:617-855-7446
Mailing Address - Fax:
Practice Address - Street 1:35 BEDFORD STREET
Practice Address - Street 2:SUITE #6
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420
Practice Address - Country:US
Practice Address - Phone:617-855-7446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2708152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry