Individual
DR. ELLEN FOSTER MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP.D., CCC-SLP
Contact information
Practice address
2168 JOG ROAD, WEST PALM BEACH, FL 33415
(561) 641-5757
(561) 641-7373
Mailing address
2168 S JOG RD, GREENACRES, FL 33415-6093
(561) 641-5757
(561) 641-7373
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6347
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109652000
—
FL
Enumeration date
04/20/2009
Last updated
12/13/2023
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