Alicia Danielle Matuszewski, M.S
Individual provider Active NPI Speech-Language Pathologist · Wayne, IL
NPI 1487901690 · NPPES record last updated Aug 7, 2012
Key facts
- NPI
- 1487901690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 242002411 (IL)
- Practice address
- 4N584 Mountain Ash Dr
Wayne, IL 60184-2416 - Phone
- (630) 715-9696
- NPI assigned
- Aug 7, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242002411 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliemslp Speech Therapy Group Inc | Speech-Language Pathologist | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242002411 | IL | Yes |
Addresses
Primary practice location
4N584 Mountain Ash Dr
Wayne, IL 60184-2416
Mailing address
4N584 Mountain Ash Dr
Wayne, IL 60184-2416
Phone (630) 715-9696
Other providers in Wayne, IL
- Greater Elgin Family Care Center
- Kassandra Hemming
- Daniel Arthur Lace
- Adelina Lopez
- Luciana F Lorusso
- Susan Gayle McCain
- Niketa Ankur Patel
- Lauren Price
- Patricia Ann Santucci
All providers in Wayne, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.