Healthcare Provider Details

I. General information

NPI: 1386225696
Provider Name (Legal Business Name): MARIE ANN DOLCE M.A.,CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CRESTMOORE PL
VENICE CA
90291-4814
US

IV. Provider business mailing address

601 CRESTMOORE PL
VENICE CA
90291-4814
US

V. Phone/Fax

Practice location:
  • Phone: 424-666-9958
  • Fax:
Mailing address:
  • Phone: 424-666-9958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number31054
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: