NPI 1194552950 · live from the CMS NPI Registry
Mariann Angela Agapito, M.A., CCC-SLP
Speech-Language Pathologist, in San Diego, CA. National Provider Identifier 1194552950, active.
NPI record
| NPI | 1194552950 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 4405 Vandever Ave, San Diego, CA 92120 |
| Practice phone | 616-975-5064 |
| Mailing address | 9 Country Ln, Millsboro, DE 19966 |
| Enumerated | September 16, 2024 |
| Last updated | September 16, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 37985 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.