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MS. MARY KATHLEEN MATHESON MA, CCCSLP
NPI 1063190924
Speech-Language Pathologist in San Diego, CA

Active since July 10, 2023
7504 VOLCLAY DR, SAN DIEGO, CA 92119(619) 354-8604 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Kathleen Matheson Ma, Cccslp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY KATHLEEN MATHESON MA, CCCSLP (NPI 1063190924) is an individual speech-language pathologist provider in San Diego, California, licensed in California (11769) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1063190924
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. MARY KATHLEEN MATHESONCredential: MA, CCCSLP
Location Address7504 VOLCLAY DRSan Diego, CA 92119-1218
Mailing Address7504 Volclay DrSan Diego, CA 92119-1218 · (619) 354-8604
Phone(619) 354-8604
Sole ProprietorYes
Enumeration DateJuly 10, 2023
NPPES CertifiedJuly 10, 2023
✔ NPI 1063190924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · 11769
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.
7504 VOLCLAY DR, San Diego, CA 92119
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Matheson's NPI number?

The NPI number for Mary Matheson is 1063190924. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Mary Matheson located?

Mary Matheson practices at 7504 Volclay Dr, San Diego, CA 92119. The listed phone number is (619) 354-8604.

What is Mary Matheson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Mary Matheson was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.