Active NPI
Katlyn Matetich, CCC-SLP
- Speech-Language Pathologist
- West Lawn, PA
National Provider Identifier
1225664774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL014780
- Practice address
- 1935 Reading Ave
West Lawn, PA 19609-2026 - Phone
- (610) 741-8630
- NPI assigned
- Mar 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL014780 | PA | Primary |
Addresses
Primary practice location
1935 Reading Ave
West Lawn, PA 19609-2026
Mailing address
1935 Reading Ave
West Lawn, PA 19609-2026
Phone (610) 741-8630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL014780 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1225664774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 READING AVE",
"city": "WEST LAWN",
"state": "PA",
"postal_code": "196092026",
"telephone_number": "610-741-8630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 READING AVE",
"city": "WEST LAWN",
"state": "PA",
"postal_code": "196092026",
"telephone_number": "610-741-8630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATETICH",
"first_name": "KATLYN",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-17",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL014780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lawn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.