Individual
MRS. STEPHANIE L MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
2100 STANTONSBURG, VIDANT MEDICAL SYSTEM AUDIOLOGY, GREENVILLE, NC 27834
(252) 847-5436
(252) 847-1301
Mailing address
1808 ENGLISH OAK CT, GREENVILLE, NC 27858-8421
(252) 847-5436
(252) 847-1301
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
6550
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12026680
ASHA CERTIFICATE
—
01
—
6550
AUDIOLOGIST
NC
Enumeration date
05/21/2007
Last updated
03/31/2014
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