Mary Doiron, SLP

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

NPI 1669904397 · NPPES record last updated Mar 31, 2017

Key facts

NPI
1669904397
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP5632 (CA)
Practice address
1375 Chaney Ave
Carpinteria, CA 93013-1720
Phone
(805) 450-2794
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SP5632CAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP5632 CA Yes

Addresses

Primary practice location

1375 Chaney Ave
Carpinteria, CA 93013-1720

Mailing address

1375 Chaney Ave
Carpinteria, CA 93013-1720
Phone (805) 450-2794

Other identifiers

IdentifierTypeStateIssuer
SP 5632OtherCADEPARTMENT OF CONSUMER AFFAIRS
00879833OtherAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIAITON

Other names

  • Mary O'Dell-Doiron Other name

Other providers in Carpinteria, CA

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

Sources for this page

Verify at the official NPI Registry.