Individual
MRS. MAUREEN ANN MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
100 S GARRISON AVE, SAINT LOUIS, MO 63103-2538
(314) 340-5902
Mailing address
2791 COUNTRY RD, HIGH RIDGE, MO 63049-2835
(636) 795-4153
(636) 677-3984
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111331
MO
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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