Maureen Ann Mattingly, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

111331 Issued in MO

Practice address

100 S Garrison Ave
Saint Louis, MO 63103-2538

Phone

(314) 340-5902

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Maureen Ann Mattingly Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Haislup

  • Speech-Language Pathologist
  • Saint Louis, MO
  • NPI 1518162791
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215079637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2791 COUNTRY RD",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630492835",
            "telephone_number": "636-795-4153",
            "fax_number": "636-677-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S GARRISON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631032538",
            "telephone_number": "314-340-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "MAUREEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "111331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "MATTINGLY",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "SPEECH PATHOLOGIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Monica Monee Matthieu, LCSW, PH.D
• Mattie'S Adhc
• Mattingly Chiropractic
• Dustan J. Mattingly, D.C.
• Lauren Drbul Mattingly, PNP
• Tori Marie Mattingly, FNP
• Mattis Road Counseling, LLC
• Mattis Road Surgery Center LLC
• Ross Mattox, D.C.
• Consuelo Maturana, LPC

• Speech-Language Pathologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.