National Provider Identifier
Kaitlin Mattle, M.S., LIC/CCC-SLP
Kaitlin Mattle, M.S., LIC/CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 727-9723.
Profile Overview
- NPI
- 1679988067
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- June 25, 2014
- Last Updated
- November 09, 2022
Practice Location
- 156 Kim Ln
- Rochester, NY 14626-1140
Phone: (585) 727-9723
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1679988067
- Entity Type
- Individual
- Last Name
- Mattle
- First Name
- Kaitlin
- Credential
- M.S., LIC/CCC-SLP
- Mailing Street Address
- 156 Kim Ln
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-1140
- Mailing Country
- US
- Mailing Phone
- (585) 727-9723
- Practice Street Address
- 156 Kim Ln
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-1140
- Practice Country
- US
- Practice Phone
- (585) 727-9723
- Enumeration Date
- June 25, 2014
- Last Updated
- November 09, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 09, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)