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Individual
MS. JESSICA KAE MATTINGLY
Active
Individual
MS. JESSICA KAE MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
116827
TX
235Z00000X
Speech-Language Pathologist
2202009426
VA
235Z00000X
Speech-Language Pathologist
25142
CA
235Z00000X
Speech-Language Pathologist
4775
TN
235Z00000X
Speech-Language Pathologist
Primary
SP-1793
NV
235Z00000X
Speech-Language Pathologist
—
KY
Other
Enumeration date
07/06/2012
Last updated
03/05/2026
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