Individual
KAYLA MATHIOWETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3543 E MERIDIAN PARK LOOP STE C, WASILLA, AK 99654-7294
(907) 864-0099
Mailing address
3543 E MERIDIAN PARK LOOP STE C, WASILLA, AK 99654-7294
(507) 430-4674
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
164574
AK
235Z00000X
Speech-Language Pathologist
9704
MN
235Z00000X
Speech-Language Pathologist
SLP.0003664
CO
Other
Enumeration date
07/20/2018
Last updated
09/12/2022
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