Individual
KIRSTEN JO MATTHIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 N DOBSON RD, # 3, CHANDLER, AZ 85224-8594
(480) 722-1300
Mailing address
2154 S ABBEY, MESA, AZ 85209-1248
(480) 518-2309
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
#SLPA8116
AZ
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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