Individual
COLLEEN ELIZABETH MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3411 AVONDALE LN, NEW LENOX, IL 60451-8602
(708) 308-6859
Mailing address
3411 AVONDALE LN, NEW LENOX, IL 60451-8602
(708) 308-6859
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.009893
IL
Other
Enumeration date
07/23/2009
Last updated
09/11/2012
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