MEDICARE: MRS. ANN MARIE TOMPKINS M.S., CCC-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
1	235Z00000X	Speech-Language Pathologist	SP13839	CA

General Provider Information

NPI Number	:	1740264738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANN MARIE TOMPKINS M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	7139 COBALT WAY
Second Line	:
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95621-3616
Country	:	US
Telephone Number	:	916-734-7712
Fax Number	:	916-454-2703

Provider Business Practice Location Address
First Line	:	7139 COBALT WAY
Second Line	:
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95621-3616
Country	:	US
Telephone Number	:	916-734-7712
Fax Number	:	916-454-2703

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	07/08/2007

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