Mattson, Fenja

Mattson, Fenja is an individual health care provider with primary practice located at 1010 N Davis St Ste 101 , Jacksonville FL 32209-6808. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Mattson, Fenja can be contacted via phone (904) 355-3403.

Contact Information

Primary practice address
1010 N Davis St Ste 101 Jacksonville FL 32209-6808
Phone: (904) 355-3403
Fax: (904) 355-4149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY 1153 Florida

Profile Details

NPI number 1184791956
LBN Legal business name Mattson, Fenja
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 21st, 2022 - about 4 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 1184791956 NPPES
Florida MEDICAID 6003877-00

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