Organization
MARY ROSE SPEECH PATHOLOGIST
Active
Organization
MARY ROSE SPEECH PATHOLOGIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ROSE MSCCC-SLP (OWNER)
(831) 682-0402
Entity
Organization
Contact information
Practice address
21103 OLD RANCH CT, SALINAS, CA 93908-1409
(831) 682-0402
Mailing address
21103 OLD RANCH CT, SALINAS, CA 93908-1409
(831) 682-0402
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SP6997
CA
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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