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Maryann Baer Forman, SLP

Speech-Language Pathologist, in Ventura, CA. Individual provider (NPI-1).

NPI number1194359919
StatusActive
Last updated in NPPESMar 2, 2020

Details

NPI
1194359919
Entity type
Individual (NPI-1)
Name
Maryann Baer Forman
Credential
SLP
Sex
Female
Sole proprietor
No
Enumeration date
Mar 2, 2020
Certification date
Mar 2, 2020
Last updated
Mar 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,4450CAYes

Practice location

1857 Knoll Drive
Ventura, CA 93003

Phone 805-667-8200 · Fax 805-667-8001

Mailing address

1857 Knoll Drive
Ventura, CA 93003

Phone 805-667-8200 · Fax 805-667-8001

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