Individual
MRS. ELAINE MARA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1815 W 213TH ST STE 100, TORRANCE, CA 90501-2852
(310) 328-0276
Mailing address
24 QUARTERHORSE LN, ROLLING HILLS ESTATES, CA 90274-4825
(908) 500-1235
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP28316
CA
Other
Enumeration date
08/10/2019
Last updated
08/10/2019
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