Individual
CARLY MATTESSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3222 W FULLER DR, ANTHEM, AZ 85086-6004
(636) 399-0954
Mailing address
15825 N 71ST ST APT 347, SCOTTSDALE, AZ 85254-0049
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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