MS. Mary Malisa Mathew
MS. Mary Malisa Mathew is a Student in an Organized Health Care Education/Training Program in Wheaton, Illinois. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
Wheaton, ILNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1669922647 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 13, 2016 |
| Last updated in NPPES | June 21, 2021 |
| Certification date | June 21, 2021 |
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