Provider Demographics
NPI:1710002621
Name:MARI, MARIA DEL PILAR (MS-CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MARIA DEL PILAR
Middle Name:
Last Name:MARI
Suffix:
Gender:F
Credentials:MS-CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 N BELLFLOWER BLVD STE 112
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-1100
Mailing Address - Country:US
Mailing Address - Phone:624-294-2905
Mailing Address - Fax:
Practice Address - Street 1:2700 N BELLFLOWER BLVD STE 112
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-1100
Practice Address - Country:US
Practice Address - Phone:562-429-4290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR756235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist