| Doctor Name: | MISS LAURIE A MATTABONI |
| NPI Number: | 1013221340 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC |
| License Number: | 0199031 |
| Business Practice Address: | 10 New King St 105 White Plains, NY - 106041205 |
| Business Phone Number: | 9143909880 |
| Business Fax Number: | |
| Mailing Address: | 14 Grand St, NEW CITY |
| State: | NY |
| Postal Code: | 109562436 |
| Phone Number: | 9149075708 |
| Fax Number: | |
| NPI Enumeration Date: | 07/28/2010 |
| NPI Last Update Date: | 07/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 0199031 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| 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 |