Maclellan, Mary Anne

Maclellan, Mary Anne is an sole proprietor health care provider with primary practice located at 1595 Grand Ave Suite 110, San Marcos CA 92078-2450. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Maclellan, Mary Anne can be contacted via phone (760) 471-1198.

Contact Information

Primary practice address
1595 Grand Ave Suite 110 San Marcos CA 92078-2450
Phone: (760) 471-1198
Fax: (760) 471-5657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP4920 California

Profile Details

NPI number 1053440479
LBN Legal business name Maclellan, Mary Anne
Credentials M.A., CCC, SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Jul 17th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053440479 NPPES
California MEDICAID SP0049200

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