ELLEN FOSTER MATTINGLY


Address: 6295 Lake Worth Road, Suite 21, Lake Worth, FL 33463-2909
Phone: 5616415757

ELLEN FOSTER MATTINGLY (NPI# 1144464207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144464207
Entity Type Individual
Full Name ELLEN FOSTER MATTINGLY
Credential M.S., CCC-SLP
Practice Address 6295 Lake Worth Road
Suite 21
Lake Worth
FL 33463-2909
Practice Telephone 5616415757
Practice Fax Number 5616410274
Mailing Telephone 5616415757
Mailing Fax Number 5616410274
Enumeration Date 2009-04-20
Last Update Date 2011-11-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SA6347 FL Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 001049100 05

Office Location

Street Address 6295 LAKE WORTH ROAD
SUITE 21
City LAKE WORTH
State FL
Zip Code 33463-2909

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1427537372 Dorothy Carol Rose Smith Speech-Language Pathologist 6200 Grand Cypress Circle, Lake Worth, FL 33463 2018-08-11
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1174039960 Marigold Nursing, LLC Registered Nurse 3900 Woodlake Blvd., Suite 200-13, Lake Worth, FL 33463 2017-12-16
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083186209 Joan Leslie Clark Speech-Language Pathologist 3898 Via Poinciana Ste 17, Lake Worth, FL 33467-2951 2018-12-28
1861962169 Chanel Mercedes Morris-stephens Speech-Language Pathologist 5635 Green Island Blvd, Lake Worth, FL 33463-7352 2018-11-29
1427537372 Dorothy Carol Rose Smith Speech-Language Pathologist 6200 Grand Cypress Circle, Lake Worth, FL 33463 2018-08-11
1477052892 Jodie Tuz Speech-Language Pathologist 6664 Ashburn Rd, Lake Worth, FL 33467-7316 2018-02-12
1760924419 Bella Speech Sensory World and More II Inc Speech-Language Pathologist 5905 S State Road 7, Suite B, Lake Worth, FL 33449-5429 2016-11-12
1154795813 Marla Goren Speech-Language Pathologist 5046 Prairie Dunes Village Cir, Lake Worth, FL 33463-8214 2015-11-18
1558767772 Julissa Gayle Iracheta Speech-Language Pathologist 3901 Pueblo Trl, Lake Worth, TX 76135-2872 2014-11-16
1669872511 Jamie Flood M.s. Ccc-slp P.a Speech-Language Pathologist 6614 Jacques Way, Lake Worth, FL 33463-7486 2014-08-28
1588097539 Anna Cifelli Speech-Language Pathologist 4411 Trevi Ct, Apt. 203, Lake Worth, FL 33467-4212 2013-08-14
1730524968 Dawn Baumgarten Speech-Language Pathologist 8480 Lantana Road, Lake Worth, FL 33467 2013-05-01
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Competitor

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City LAKE WORTH
Zip Code 33463

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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