Individual
MATTHEW JAMES WETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 LAKE HAVASU AVE N STE 100, LAKE HAVASU CITY, AZ 86404-1177
(928) 854-5439
(928) 854-5440
Mailing address
1515 LAKE HAVASU AVE N STE 100, LAKE HAVASU CITY, AZ 86404-1177
(928) 854-5439
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPLA14491
AZ
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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