Provider Demographics
NPI:1841750171
Name:MATTHEWS, SANDRA (MS CCC SLP)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 ARROW HEAD RD
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-6254
Mailing Address - Country:US
Mailing Address - Phone:781-536-8928
Mailing Address - Fax:
Practice Address - Street 1:OUTPATIENT REHAB - HOBART GROVE
Practice Address - Street 2:207 LINDEN PONDS WAY
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043
Practice Address - Country:US
Practice Address - Phone:781-534-7160
Practice Address - Fax:781-534-7382
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3712235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist