Mathenia, Madison

Mathenia, Madison is an individual health care provider with primary practice located at 2030 Chilhowee Medical Park , Maryville TN 37804-5285. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mathenia, Madison can be contacted via phone (865) 982-3400.

Contact Information

Primary practice address
2030 Chilhowee Medical Park Maryville TN 37804-5285
Phone: (865) 982-3400
Fax: (865) 238-2034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 60678215 Washington
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6794 Tennessee

Profile Details

NPI number 1144769985
LBN Legal business name Mathenia, Madison
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2017
Last updated Aug 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144769985 NPPES
Tennessee MEDICAID Q051047

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