Individual
MRS. ERIN R MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, MS, CCC-SLP/L
Contact information
Practice address
118 E WASHINGTON ST, O FALLON, IL 62269-1419
(618) 632-3666
(618) 632-7864
Mailing address
1946 CELEBRATION PARK CIR, BELLEVILLE, IL 62220-3267
(618) 920-3349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.009013
IL
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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