Individual
MRS. AMY NICOLE MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 VALLEYVIEW DR, LEITCHFIELD, KY 42754-7764
(270) 589-8156
Mailing address
106 VALLEYVIEW DR, LEITCHFIELD, KY 42754-7764
(270) 589-8156
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
KY
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
11/06/2008
Last updated
05/30/2020
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