Individual
JORDYN MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 STATE ST, LA PORTE, IN 46350-3115
(219) 325-4649
Mailing address
1029 FOX ST, LA PORTE, IN 46350-6003
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
01/14/2021
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