Individual
CAROLYN SUE MATULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
2500 CITYWEST BLVD, SUITE 300, HOUSTON, TX 77042-3000
(888) 964-6681
(888) 662-0859
Mailing address
25 NEDDHAM STREET, NEWTON, MA 02461
(617) 964-6681
(617) 630-0141
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80045
TX
237600000X
Audiologist-Hearing Aid Fitter
80045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188232602
—
TX
01
—
P00812640
RAILROAD
—
Enumeration date
04/16/2007
Last updated
03/02/2012
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