Individual
STEPHANIE MARIE MATTINGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
995 E BASELINE RD APT 1137, TEMPE, AZ 85283-1353
(949) 701-5196
Mailing address
4127 E INDIAN SCHOOL RD APT 28, PHOENIX, AZ 85018-5363
(949) 701-5196
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA9440
AZ
235Z00000X
Speech-Language Pathologist
Primary
SLP9440
AZ
Other
Enumeration date
02/09/2021
Last updated
09/22/2021
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