NPI | 1487079471 |
---|---|
Former Name | MORGAN MARIE MATTEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007274) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP. 9599) |
235Z00000X Speech-Language Pathologist, (Licence: DC SLP000748) | |
Enumeration Date | 2014-02-27 |
Last Update Date | 2014-02-27 |