| Mary Rose Speech Pathologist | |
|
21103 Old Ranch Ct Salinas CA 93908-1409 | |
| (831) 682-0402 | |
| Not Available |
| Full Name | Mary Rose Speech Pathologist |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 21103 Old Ranch Ct, Salinas, California |
| Authorized Official Name and Position | Mary Rose (OWNER) |
| Authorized Official Contact | 8316820402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Rose Speech Pathologist 21103 Old Ranch Ct Salinas CA 93908-1409 Ph: (831) 682-0402 | Mary Rose Speech Pathologist 21103 Old Ranch Ct Salinas CA 93908-1409 Ph: (831) 682-0402 |
| NPI Number | 1629455530 |
|---|---|
| Provider Enumeration Date | 04/29/2015 |
| Last Update Date | 04/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629455530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SP6997 (California) | Primary |
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