Individual
MATTHEW JOSEPH BRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6815 W CACTUS RD, PEORIA, AZ 85381-5313
(623) 937-5090
Mailing address
18330 N 79TH AVE APT 1063, GLENDALE, AZ 85308-8347
(419) 343-0113
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLP11721
AZ
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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