Individual
SALLY V MATCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
9866 KIRKWOOD LN N, MAPLE GROVE, MN 55369-6602
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7262
MN
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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