Corey Poe Mattorano, MS. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0003056 Issued in CO

Practice address

704 Fortino Blvd Ste a
Pueblo, CO 81008-2087

Phone

(719) 305-8300

NPI assigned

Sep 14, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1407304819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 E DESERT COVE DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810076521",
            "telephone_number": "505-358-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 FORTINO BLVD STE A",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082087",
            "telephone_number": "719-305-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 E Clinton St",
            "address_purpose": "LOCATION",
            "city": "Hobbs",
            "state": "NM",
            "postal_code": "882408238",
            "country_code": "US",
            "telephone_number": "575-393-0755",
            "fax_number": "575-393-0249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTORANO",
        "first_name": "COREY",
        "middle_name": "POE",
        "credential": "MS. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C-6059",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0003056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000162889",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Mathieu
• Robyn Matkovich
• Matt. a. Philson, D.D.S,P.C.
• Matthew J Furman, D.O. LLC
• Jeanne Matthews
• Mark Edward Maurer
• Robert Brooks Maurio
• Jerica Mauro
• Maverick Mind PLLC
• Kendra Maxfield

• Speech-Language Pathologist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.