| Doctor Name: | MARIA BAGBY |
| NPI Number: | 1033580212 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 990 Highland Dr Ste 106d Solana Beach, CA - 920752409 |
| Business Phone Number: | 8586688366 |
| Business Fax Number: | |
| Mailing Address: | 990 Highland Dr Ste 106d, SOLANA BEACH |
| State: | CA |
| Postal Code: | 920752409 |
| Phone Number: | 8586688366 |
| Fax Number: | |
| NPI Enumeration Date: | 10/13/2015 |
| NPI Last Update Date: | 11/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355A2700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Audiology Assistant |
| Taxonomy Definition: | |