Mary Rose Speech Pathologist

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SP6997 Issued in CA

Legal business name

MARY ROSE SPEECH PATHOLOGIST

Practice address

21103 Old Ranch CT
Salinas, CA 93908-1409

Phone

(831) 682-0402

NPI assigned

Apr 29, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Rose, MSCCC-SLP

Title

Owner

Phone

(831) 682-0402

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1629455530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21103 OLD RANCH CT",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939081409",
            "telephone_number": "831-682-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21103 OLD RANCH CT",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939081409",
            "telephone_number": "831-682-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ROSE SPEECH PATHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-682-0402",
        "authorized_official_credential": "MSCCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "SP6997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Salinas, CA
• Providers in Salinas, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.