COLLEEN ELIZABETH MATTESON (NPI# 1336379320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336379320 |
| Entity Type | Individual |
| Full Name | COLLEEN ELIZABETH MATTESON |
| Other Name | COLLEEN ELIZABETH CAMPBELL |
| Credential | SLP |
| Practice Address |
3411 Avondale Ln New Lenox IL 60451-8602 |
| Practice Telephone | 7083086859 |
| Mailing Telephone | 7083086859 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2012-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146.009893 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
3411 AVONDALE LN |
| City | NEW LENOX |
| State | IL |
| Zip Code | 60451-8602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126227 | Forever Family Dental of New Lenox | Dentist | 202 Vancina Lane, New Lenox, IL 60451 | 2020-02-13 |
| 1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
| 1093204778 | New Lenox Anesthesia LLC | Anesthesiology | 678 Cedar Crossing Dr, New Lenox, IL 60451 | 2018-05-08 |
| 1578068698 | My Medicar | Non-emergency Medical Transport (VAN) | 21625 S. Schoolhouse Rd, New Lenox, IL 60451 | 2018-03-29 |
| 1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
| 1063947422 | Silver Cross Ambulatory Surgery Center, LLC | Clinic/Center | 1003 Pawlak Parkway, New Lenox, IL 60451 | 2017-04-24 |
| 1386090041 | Lindsey Reimer | Speech-Language Pathologist | 3515 Golf Ave, New Lenox, IL 60451 | 2016-05-11 |
| 1295105484 | Alison Elaine Burchardt | Nurse Practitioner | 1890 Silver Cross Boulevard, Pavilion A, Suite 240, New Lenox, IL 60451 | 2015-09-30 |
| 1700278959 | Dental Professionals of Illinois, P.c | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451 | 2015-02-25 |
| 1912319146 | Teresea Bargewell | Counselor | 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 | 2014-05-22 |
| Find all providers in zip 60451 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709666 | Arica Guarino | Speech-Language Pathologist | 1209 O Connell Cir, New Lenox, IL 60451-2931 | 2020-08-06 |
| 1073098406 | Jodi Andrea Frigo | Speech-Language Pathologist | 21701 Gougar Rd, New Lenox, IL 60451-1576 | 2018-10-02 |
| 1386154755 | Theresa Letsos | Speech-Language Pathologist | 1650 Monarch Ave, New Lenox, IL 60451-2564 | 2017-10-11 |
| 1992215297 | Michelle R Johnson | Speech-Language Pathologist | 923 Wisconsin Rd, New Lenox, IL 60451-2263 | 2017-10-02 |
| 1386090041 | Lindsey Reimer | Speech-Language Pathologist | 3515 Golf Ave, New Lenox, IL 60451 | 2016-05-11 |
| 1831563980 | Brianna Medema | Speech-Language Pathologist | 146 Markev Ln, New Lenox, IL 60451-1138 | 2015-11-29 |
| 1215307475 | Joyce Hart | Speech-Language Pathologist | 2424 Cattleman Dr, New Lenox, IL 60451-3141 | 2015-09-30 |
| 1083083844 | Sean Marino | Speech-Language Pathologist | 2125 Water Chase Dr, New Lenox, IL 60451-4813 | 2015-09-22 |
| 1235514738 | Kelly Rodriguez-cowan | Speech-Language Pathologist | 921 S Bentley Rd, New Lenox, IL 60451-3622 | 2015-07-25 |
| 1861871592 | Cathy Ann Muckian | Speech-Language Pathologist | 1622 Andrea Dr, New Lenox, IL 60451-2304 | 2015-05-27 |
| Find all providers in NEW LENOX | ||||
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| 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.