Provider Demographics
NPI:1740747500
Name:MATHEWS, DELILAH C (MED, CCC-SLP/L)
Entity Type:Individual
Prefix:MRS
First Name:DELILAH
Middle Name:C
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:MED, CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15630 MESSINA ISLE CT
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-9761
Mailing Address - Country:US
Mailing Address - Phone:847-807-9708
Mailing Address - Fax:
Practice Address - Street 1:3300 FOREST HILL BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-5813
Practice Address - Country:US
Practice Address - Phone:847-807-9708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-27
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA21473235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist