Individual
DEBRA L MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., SLP
Contact information
Practice address
275 NW FLAGLER AVE, #306, STUART, FL 34994-1160
(517) 927-0050
Mailing address
275 NW FLAGLER AVE, #306, STUART, FL 34994-1160
(517) 927-0050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
L2234715
MI
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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