Mary F Cobb, MS,CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Ruskin, FL

NPI 1457479727 · NPPES record last updated Jul 27, 2015

Key facts

NPI
1457479727
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SA8641 (FL)
Practice address
1426 Harbour Blue St
Ruskin, FL 33570-8073
Phone
(813) 394-7787
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

State licenses

LicenseStateTypeSpecialty
SA8641FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Therapy Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA8641 FL Yes

Addresses

Primary practice location

1426 Harbour Blue St
Ruskin, FL 33570-8073

Mailing address

1426 Harbour Blue St
Ruskin, FL 33570-8073
Phone (813) 394-7787

Other providers in Ruskin, FL

All providers in Ruskin, FL · Speech-Language Pathologist in Florida

Sources for this page

Verify at the official NPI Registry.