Healthcare Provider Details

I. General information

NPI: 1720598709
Provider Name (Legal Business Name): MATTHEW ROBERT HUFFHINES M.S. CCC-SLP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2017
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14362 N FRANK LLOYD WRIGHT BLVD STE 1000
SCOTTSDALE AZ
85260-8847
US

IV. Provider business mailing address

14362 N FRANK LLOYD WRIGHT BLVD STE 1000
SCOTTSDALE AZ
85260-8847
US

V. Phone/Fax

Practice location:
  • Phone: 480-468-6320
  • Fax:
Mailing address:
  • Phone: 480-468-6320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP10893
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: