Individual
MRS. CHRISTINE M. MATTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC/SLP
Contact information
Practice address
431 AVIATION RD, QUEENSBURY, NY 12804-2914
(518) 824-1610
Mailing address
PO BOX 127, BEE SKEP LANE, HARTFORD, NY 12838-0127
(518) 824-1610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
008311-1
NY
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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