Jessica Kae Mattingly, M.S., CCC-SLP
Speech-Language Pathologist, in Fort Worth, TX. Individual provider (NPI-1).
NPI number1497010482
StatusActive
Last updated in NPPESMar 5, 2026
Details
- NPI
- 1497010482
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jessica Kae Mattingly
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2012
- Certification date
- Mar 5, 2026
- Last updated
- Mar 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SP-1793 | NV | Yes |
| 235Z00000X | Speech-Language Pathologist, | 25142 | CA | |
| 235Z00000X | Speech-Language Pathologist, | 4775 | TN | |
| 235Z00000X | Speech-Language Pathologist, | – | KY | |
| 235Z00000X | Speech-Language Pathologist, | 116827 | TX | |
| 235Z00000X | Speech-Language Pathologist, | 2202009426 | VA |
Practice location
201 W Lancaster Ave Unit 120Fort Worth, TX 76102-6664
Phone 615-692-4230
Mailing address
201 W Lancaster Ave Unit 120Fort Worth, TX 76102-6664
Phone 615-692-4230
Other practice locations
2875 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4842
Henderson, NV 89052-4842
Phone 800-966-0535
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All 738 Speech-Language Pathologist providers in Fort Worth · All 20,155 providers in Fort Worth
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