Mattek, Julia
Mattek, Julia is an sole proprietor health care provider with primary practice located at 6700 N. Port Washington Rd. C/O St. Francis Children'S Center, Glendale WI 53217-3919. 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. Mattek, Julia can be contacted via phone (414) 351-8850.Contact Information
Primary practice address
6700 N. Port Washington Rd. C/O St. Francis Children'S Center
Glendale WI 53217-3919
Phone: (414) 351-8850
Fax: (414) 351-8846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3047154 | Wisconsin |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3047-154 | Wisconsin |
Profile Details
| NPI number | 1245408715 |
|---|---|
| LBN Legal business name | Mattek, Julia |
| Credentials | MSCCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2008 |
| Last updated | Nov 29th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245408715 | NPPES |
| Wisconsin | MEDICAID | 42589700 |
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