Individual
MISS LAUREN LEIGH MATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3671 EVELINE ST, PHILADELPHIA, PA 19129-1708
(570) 906-1251
Mailing address
3671 EVELINE ST, PHILADELPHIA, PA 19129-1708
(570) 906-1251
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013167
PA
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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