Mary Ellen Bass, SPEECH THERAPIST
NPI #1992096895 in Crystal River, Florida
Provider Information
- NPI Number
- 1992096895
- Entity Type
- Individual
- Name
- Mary Ellen Bass, SPEECH THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SPEECH THERAPIST
- Enumeration Date
- Apr 26, 2011
- Last Updated
- Apr 26, 2011
Practice Location
- Address
- 255 SE 7TH AVE
- Address 2
- SUITE 2
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-4891
- Phone
- (352) 795-4117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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