Terry Vernon Matulle, M.S., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

189156 Issued in WI

Practice address

20 S Main St Ste 14
Janesville, WI 53545-3959

Phone

(608) 752-3529

Fax

(608) 752-3529

NPI assigned

Sep 13, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1962697722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S MAIN ST STE 14",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535453959",
            "telephone_number": "608-752-3529",
            "fax_number": "608-752-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S MAIN ST STE 14",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535453959",
            "telephone_number": "608-752-3529",
            "fax_number": "608-752-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATULLE",
        "first_name": "TERRY",
        "middle_name": "VERNON",
        "name_prefix": "Mr.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "189156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41110400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph H Mastromarino, MD
• Casey E Mathews, PT
• Sara Mathews, PHARMD
• Sky Lynn Mathews, LPN
• Therese Mattingly, M.S., LCSW, LMFT
• Melissa R Matzke, M.S./CFY-SLP
• Susan M Matzke, MS
• Cherie Mauerman, PTA
• Alexis Marie Mauermann
• Tracy A. Mayer, L.C.S.W.

• Audiologist in Janesville, WI
• Providers in Janesville, WI by specialty
• Audiologist in Wisconsin

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