Individual
AUDREY I MATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3040 N WICKHAM RD, SUITE 7, MELBOURNE, FL 32935-2369
(321) 255-9546
(321) 255-4690
Mailing address
3040 N WICKHAM RD, SUITE 7, MELBOURNE, FL 32935-2369
(321) 255-9546
(321) 255-4690
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA5470
FL
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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