Rosemary Ayres, Ms, CCC-SLP

Organization Active NPI Speech-Language Pathologist · Philomath, OR

NPI 1609901917 · NPPES record last updated Jun 17, 2008

Key facts

NPI
1609901917
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
10192 (OR)
Legal business name
ROSEMARY AYRES, MS, CCC-SLP
Practice address
138 S 12TH STR
Philomath, OR 97370-1492
Phone
(541) 929-4568
Fax
(541) 929-4513
NPI assigned
Feb 23, 2007
Organization subpart
No

Authorized official

Name
Ms. Rosemary S Ayres, MS, CCC-SLP
Title
Speech Pathologist, Owner
Phone
(541) 929-4568

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X 10192 OR Yes

Addresses

Primary practice location

138 S 12TH STR
Philomath, OR 97370-1492

Mailing address

PO Box 1492
Philomath, OR 97370-1492
Phone (541) 929-4568

Other identifiers

IdentifierTypeStateIssuer
Y6967-01OtherORPACIFICSOURCE HEALTHCARE
138396OtherOROMAP-OFFICE MEDICAL ASSIS
14951000OtherORREGENT BLUE CROSS BLUE SH

Other names

  • Speech Camp Doing business as

Other providers in Philomath, OR

All providers in Philomath, OR · Speech-Language Pathologist in Oregon

Sources for this page

Verify at the official NPI Registry.