| Kimberly Mattison, | |
|
2501 Hunter Pl Ste 101, Woodbridge, VA 22192-3940 | |
| (540) 720-2261 | |
| Not Available |
| Full Name | Kimberly Mattison |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2501 Hunter Pl Ste 101, Woodbridge, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740798339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SAH-2024-0120 (New Mexico) | Primary |
| 235Z00000X | Speech-language Pathologist | 220208371 (Virginia) | Secondary |
| Provider Name | Unm Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Mattison, 8301 Go West Rd Nw, Albuquerque, NM 87120-3785 Ph: () - | Kimberly Mattison, 2501 Hunter Pl Ste 101, Woodbridge, VA 22192-3940 Ph: (540) 720-2261 |
Nicole Zimmerman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12581 Milstead Way Ste 302, Woodbridge, VA 22192 Phone: 703-239-7336 | |
Jacqueline Le, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2050 Old Bridge Rd, Woodbridge, VA 22192 Phone: 571-398-0428 | |
Donna Marie Isler, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4293 Marquis Pl, Woodbridge, VA 22192 Phone: 703-819-5113 | |
Adrienne Roland, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2201 York Dr, Woodbridge, VA 22191 Phone: 703-494-3181 | |
Mr. Hugh Scott Hammond Jr., MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12400 Knightsbridge Dr, Woodbridge, VA 22192 Phone: 703-590-3711 | |
Bethiana Magallanes White, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14450 Brook Dr, Woodbridge, VA 22193 Phone: 571-589-2867 | |
Ms. Jennifer G Braun, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2501 Hunter Pl Ste 101, Woodbridge, VA 22192 Phone: 571-285-0331 |