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NPI Code Detail

MEDICARE: MS. MARION ELIZABETH MAY I SLP

MEDICARE: MS. MARION ELIZABETH MAY I SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist10619CA

General Provider Information

NPI Number : 1972624195
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARION ELIZABETH MAY I SLP
Provider Business Mailing Address
First Line : 4760 VIA DON LUIS
Second Line :
City : NEWBURY PARK
State : CA
Zip : 91320-6878
Country : US
Telephone Number : 805-480-9982
Fax Number :
Provider Business Practice Location Address
First Line : 6340 VARIEL AVE
Second Line : SUITE A
City : WOODLAND HILLS
State : CA
Zip : 91367-2514
Country : US
Telephone Number : 818-888-4559
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 07/08/2007

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