Individual
HEIDI MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
3540 STETSON AVE, SAN DIEGO, CA 92122-2915
(858) 243-4540
Mailing address
3540 STETSON AVE, SAN DIEGO, CA 92122-2915
(858) 243-4540
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
11493
CA
235Z00000X
Speech-Language Pathologist
Primary
27068
CA
Other
Enumeration date
09/13/2017
Last updated
10/21/2022
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