MEDICARE: MRS. DELILAH C MATHEWS M.ED., CCC-SLP/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA21473	FL

General Provider Information

NPI Number	:	1740747500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DELILAH C MATHEWS M.ED., CCC-SLP/L

Provider Business Mailing Address
First Line	:	15630 MESSINA ISLE CT
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-9761
Country	:	US
Telephone Number	:	847-807-9708
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 FOREST HILL BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5813
Country	:	US
Telephone Number	:	847-807-9708
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2019
Last Update Date	:	12/07/2023

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