Individual
ASHLEY MARIE MATHESON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
50 LANGMAID LN, BRADFORD, PA 16701-3930
(814) 363-6360
Mailing address
50 LANGMAID LN, BRADFORD, PA 16701-3930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL014068
PA
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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