Individual
TAMAR KEVORK MATOSSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
820 FOOTHILL BLVD, LA CANADA FLINTRIDGE, CA 91011-3336
(626) 765-1724
Mailing address
820 FOOTHILL BLVD, LA CANADA FLINTRIDGE, CA 91011-3336
(626) 765-1724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
222Q00000X
Developmental Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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