MRS. Jackie Lynn Mathiesen, M.S. CCC-SLP
NPI #1952441602 in Avondale, Arizona
Provider Information
- NPI Number
- 1952441602
- Entity Type
- Individual
- Name
- MRS. Jackie Lynn Mathiesen, M.S. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC-SLP
- Enumeration Date
- Feb 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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