Organization
RHONDA MATTINGLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA MATTINGLY EDD (MEMBER)
(502) 552-4598
Entity
Organization
Contact information
Practice address
207 HILLCREST AVE, LOUISVILLE, KY 40206-1535
(502) 552-4598
Mailing address
207 HILLCREST AVE, LOUISVILLE, KY 40206-1535
(502) 552-4598
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1168
KY
Other
Enumeration date
11/08/2014
Last updated
11/08/2014
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