Kimberly Mattison

Speech-Language Pathologist · Woodbridge, VA

Individual Active NPI

NPI number 1740798339

Practice location

2501 Hunter Pl Ste 101
Woodbridge, VA 22192-3940
Phone
(540) 720-2261

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NPI record

NPI
1740798339
Entity type
Individual (Type 1)
Enumeration date
January 17, 2018
Last updated
August 8, 2024
Certified
August 8, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X SAH-2024-0120 NM
Speech-Language Pathologist 235Z00000X 220208371 VA

Mailing address

8301 Go West Rd NW
Albuquerque, NM 87120-3785

About Kimberly Mattison

Kimberly Mattison is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 2501 Hunter Pl Ste 101, Woodbridge, VA 22192-3940. The NPI number 1740798339 was assigned on January 17, 2018 and the record was last updated on August 8, 2024.

Kimberly Mattison lists 2 licenses in the registry: #SAH-2024-0120 (NM) for Speech-Language Pathologist; #220208371 (VA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kimberly Mattison?

The NPI number is 1740798339.

What is the phone number of Kimberly Mattison?

The phone number listed for the practice location is (540) 720-2261.

Where is Kimberly Mattison located?

2501 Hunter Pl Ste 101, Woodbridge, VA 22192-3940.

What is the taxonomy code for Kimberly Mattison?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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