Organization
ASSOCIATED SPEECH PATHOLOGISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANNE MACLELLAN M.A., CCC, SLP (SPEECH-LANGUAGE PATHOLOGIST OWNER)
(760) 471-1198
Entity
Organization
Contact information
Practice address
1595 GRAND AVE, SUITE 110, SAN MARCOS, CA 92078-2450
(760) 471-1198
(760) 471-5657
Mailing address
1595 GRAND AVE, SUITE 110, SAN MARCOS, CA 92078-2450
(760) 471-1198
(760) 471-5657
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP4920
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP0049200
—
CA
Enumeration date
03/02/2007
Last updated
07/17/2007
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