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NPI Code Detail

MEDICARE: LAURYN MATTHEWS SLP-ASSISTANT

MEDICARE: LAURYN MATTHEWS SLP-ASSISTANT
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
1106S00000XBehavior Technician1997238TX
22355S0801XSpeech-Language Assistant40633TX

General Provider Information

NPI Number : 1437708401
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURYN MATTHEWS SLP-ASSISTANT
Provider Business Mailing Address
First Line : 12770 COIT RD STE 870
Second Line :
City : DALLAS
State : TX
Zip : 75251-1455
Country : US
Telephone Number : 972-756-0500
Fax Number : 972-756-0448
Provider Business Practice Location Address
First Line : 12770 COIT RD STE 870
Second Line :
City : DALLAS
State : TX
Zip : 75251-1455
Country : US
Telephone Number : 972-756-0500
Fax Number : 972-756-0448
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2019
Last Update Date : 01/23/2021

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Directions to “ LAURYN MATTHEWS SLP-ASSISTANT” Practice Location

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