Jennifer Rebecca Mattiko, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL006062L Issued in PA

Practice address

34 Brentwood Rd
Camp Hill, PA 17011-2506

Phone

(717) 730-0511

Fax

(717) 730-0511

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972712438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BRENTWOOD RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112506",
            "telephone_number": "717-730-0511",
            "fax_number": "717-730-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BRENTWOOD RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112506",
            "telephone_number": "717-730-0511",
            "fax_number": "717-730-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIKO",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "name_prefix": "Mr.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL006062L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017858060004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emilee August Mathews, RN
• Robert E Mathias Jr., DMD
• Deborah Bingman Matisse, CRNP
• Melissa Maria Matos, RN
• Russell David Matthews
• Samantha Ann Mattingly, BS
• Melissa Mattison, REGISTERED NURSE
• Sarah Matunis, R.PH.
• Tyson Patrick Maugle, D.O.
• Allison G Maurer, CRNP

• Speech-Language Pathologist in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.