Doctor Name: | MRS. ASHLEY MARIE MATEJCAK |
NPI Number: | 1801299821 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 146.011496 |
Business Practice Address: | 4015 Plainfield Naperville Rd Suite 201 Naperville, IL - 605644238 |
Business Phone Number: | 6309040700 |
Business Fax Number: | |
Mailing Address: | 2170 Country Knoll Ln, ELGIN |
State: | IL |
Postal Code: | 601234909 |
Phone Number: | 6309739953 |
Fax Number: | |
NPI Enumeration Date: | 10/05/2014 |
NPI Last Update Date: | 10/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.011496 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |