Individual
KENDRA NOELLE MATTIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
225 VISTA SPRINGS CIR, LEXINGTON, SC 29072-8119
(803) 359-3195
Mailing address
309 LONGBOW CT, COLUMBIA, SC 29212-0816
(803) 530-9907
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4901
SC
Other
Enumeration date
09/26/2011
Last updated
07/18/2012
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