Individual
CARMEN MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
913 CARDINAL LN, AUSTIN, TX 78704-6939
(512) 705-9986
Mailing address
913 CARDINAL LN, AUSTIN, TX 78704-6939
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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