Individual
SUZANNE HELEN MATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1123 E 39TH AVE, SPOKANE, WA 99203-3038
(509) 505-0756
Mailing address
1200 AIRPORT HEIGHTS DR STE 170, ANCHORAGE, AK 99508-2986
(907) 562-2118
(907) 562-2128
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
188943
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188943
PROFESSIONAL LICENSE
AK
01
—
2152610
ALASKA BUSINESS LICENSE
AK
Enumeration date
01/03/2023
Last updated
01/03/2023
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