Doctor Name: | MARY ROSE |
NPI Number: | 1366763369 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSCCC |
License Number: | SLP6674 |
Business Practice Address: | 21103 Old Ranch Ct Salinas, CA - 939081409 |
Business Phone Number: | 8316820402 |
Business Fax Number: | |
Mailing Address: | 21103 Old Ranch Ct, SALINAS |
State: | CA |
Postal Code: | 939081409 |
Phone Number: | 8314559280 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2010 |
NPI Last Update Date: | 06/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP6674 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |