Individual
OLIVIA MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
11150 FAIRFAX BLVD, FAIRFAX, VA 22030-5066
(703) 537-0373
Mailing address
11150 FAIRFAX BLVD, FAIRFAX, VA 22030-5066
(703) 537-0373
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000974
VA
Other
Enumeration date
10/19/2022
Last updated
10/03/2023
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