Individual
RICHARD MICHAEL MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS-CCC-SLP
Contact information
Practice address
9346 OAK AVE, WACONIA, MN 55387-9422
(952) 223-2506
Mailing address
9346 OAK AVE, WACONIA, MN 55387-9422
(952) 223-2506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5341
MN
Other
Enumeration date
10/13/2009
Last updated
10/24/2020
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