Individual
MRS. CHRISTINE M MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
1415 LYON DR SE, AIKEN, SC 29801-5119
(803) 649-1611
Mailing address
1415 LYON DR SE, AIKEN, SC 29801-5119
(803) 649-1611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3097
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0425
—
SC
Enumeration date
01/20/2008
Last updated
01/20/2008
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