Individual
BRIANA VICTORIA MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP, TSSLD
Contact information
Practice address
1827 ARCHER ST, BRONX, NY 10460-6203
(718) 828-3791
Mailing address
19 E VAN CORTLANDT AVE APT 4B, BRONX, NY 10468-1123
(917) 885-7181
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
029922
NY
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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