Individual
ELIZABETH MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
13155 SW 134TH ST, MIAMI, FL 33186-4486
(786) 842-3624
(786) 329-6693
Mailing address
6522 SW 113TH CT, MIAMI, FL 33173-1949
(786) 222-1528
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
8461
FL
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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