Maria Dilley, MS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Cloverdale, CA

NPI 1023637006 · NPPES record last updated Apr 16, 2020

Key facts

NPI
1023637006
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
25735 (CA)
Practice address
133 Champlain Ave
Cloverdale, CA 95425-3208
Phone
(707) 508-7146
NPI assigned
Apr 10, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 25735 CA Yes

Addresses

Primary practice location

133 Champlain Ave
Cloverdale, CA 95425-3208

Mailing address

133 Champlain Ave
Cloverdale, CA 95425-3208

Other providers in Cloverdale, CA

All providers in Cloverdale, CA · Speech-Language Pathologist in California

Sources for this page

Verify at the official NPI Registry.