Most Relevant Information
Provider Data
| NPI Number: | 1003574153 |
| Provider Name: | SAMANTHA RAE MATTHEWS MS, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 77981 |
Most Important Dates
| Enumeration Date: | 12/06/2021 |
| Last Updated: | 12/06/2021 |
Provider Practice Location
5 LOUIS TER # 5D
DORCHESTER
MA
021243823
Practice Location Phone/Fax
| Phone: | 8484696900 |
| Fax: |
Provider Mailing Location
5 LOUIS TER # 5D
DORCHESTER
MA
021243823
Provider Mailing Phone/Fax
| Phone: | 8484696900 |
| Fax: |