| Doctor Name: | MRS. JULIA MATTEK |
| NPI Number: | 1245408715 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSCCC-SLP |
| License Number: | 3047154 |
| Business Practice Address: | 6700 N. Port Washington Rd. C/o St. Francis Children's Center Glendale, WI - 532173919 |
| Business Phone Number: | 4143518850 |
| Business Fax Number: | 4143518846 |
| Mailing Address: | 6700 N. Port Washington Rd., C/o St. Francis Children's Center GLENDALE |
| State: | WI |
| Postal Code: | 532173919 |
| Phone Number: | 4143518850 |
| Fax Number: | 4143518846 |
| NPI Enumeration Date: | 02/18/2008 |
| NPI Last Update Date: | 11/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3047154 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| 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 |