Doctor Name: | RAQUEL P MATUTE |
NPI Number: | 1003195439 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S |
License Number: | TSLP7395 |
Business Practice Address: | 17100 E Shea Blvd Ste 225 Fountain Hills, AZ - 852686744 |
Business Phone Number: | 4808374565 |
Business Fax Number: | |
Mailing Address: | 6633 E Greenway Pkwy Apt 2086, SCOTTSDALE |
State: | AZ |
Postal Code: | 852542052 |
Phone Number: | 4803262899 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2011 |
NPI Last Update Date: | 08/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | TSLP7395 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |