Mattson, Patty Jean
Mattson, Patty Jean is an individual health care provider with primary practice located at 1025 N Country Club Dr , Mesa AZ 85201-3307. 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. Mattson, Patty Jean can be contacted via phone (480) 472-0734.Contact Information
Primary practice address
1025 N Country Club Dr
Mesa AZ 85201-3307
Phone: (480) 472-0734
Fax: (480) 472-0892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP0143 | Arizona |
Profile Details
| NPI number | 1447310974 |
|---|---|
| LBN Legal business name | Mattson, Patty Jean |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1447310974 | NPPES |
| Arizona | MEDICAID | 580044 | |
| Arizona | Other | SLP0143 |
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