Mathew Scott Schliesser, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2203000984 Issued in VA

Practice address

5200 Ecoff Ave
Chester, VA 23831-1615

Phone

(804) 768-6185

NPI assigned

Aug 8, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Matthew Scott Schliesser Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1336970821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12279 RESERVE MANOR CIR APT 103",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238313759",
            "telephone_number": "725-277-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 ECOFF AVE",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311615",
            "telephone_number": "804-768-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLIESSER",
        "first_name": "MATHEW",
        "middle_name": "SCOTT",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2203000984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "SCHLIESSER",
            "middle_name": "SCOTT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Speech-Language Pathologist in Chester, VA
• Providers in Chester, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.