Individual
MRS. MAEVE SUSAN AMBROSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1255 HOCKBERRY RD, RENO, NV 89510
(775) 424-1255
Mailing address
1255 HOCKBERRY RD, REN, NV 89510
(775) 424-1255
(775) 475-0863
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
69
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3416014
—
NV
01
—
69
BOARD OF MEDICAL EXAMINER
NV
Enumeration date
12/01/2005
Last updated
07/08/2007
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