Provider Demographics
NPI:1659917383
Name:MATZINGER, CATHERINE J (CCC-SLP MA)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:J
Last Name:MATZINGER
Suffix:
Gender:F
Credentials:CCC-SLP MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2265 6TH ST
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95965-3260
Mailing Address - Country:US
Mailing Address - Phone:530-570-5564
Mailing Address - Fax:530-532-5743
Practice Address - Street 1:2265 6TH ST
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95965-3260
Practice Address - Country:US
Practice Address - Phone:530-570-5564
Practice Address - Fax:530-532-5743
Is Sole Proprietor?:No
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12052031235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist