Provider Demographics
NPI:1285468538
Name:OXBOW MARRIAGE AND FAMILY THERAPY PC
Entity type:Organization
Organization Name:OXBOW MARRIAGE AND FAMILY THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:HUFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:914-639-1184
Mailing Address - Street 1:420 WESTCHESTER AVE # 2-B
Mailing Address - Street 2:
Mailing Address - City:PORT CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10573-3600
Mailing Address - Country:US
Mailing Address - Phone:914-639-1184
Mailing Address - Fax:
Practice Address - Street 1:420 WESTCHESTER AVE # 2-B
Practice Address - Street 2:
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573-3600
Practice Address - Country:US
Practice Address - Phone:914-639-1184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty