Organization
SPARK COGNITIVE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE A MATLEY MS, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(208) 357-6342
Entity
Organization
Contact information
Practice address
2475 W PECOS RD, UNIT 1056, CHANDLER, AZ 85224-4807
(208) 357-6342
Mailing address
PO BOX 6675, CHANDLER, AZ 85246-6675
(208) 357-6342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6744
AZ
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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