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Contact Information

MARYANN BAER FORMAN, SLP
1857 KNOLL DRIVE
VENTURA, CA93003
 Phone: 805-667-8200
 Fax: 805-667-8001
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MARYANN BAER FORMAN · (Female)

NPI # 1194359919
Status Active
Credentials SLP (Speech-Language Pathologists)
Entity Individual
Enumeration date 03/02/2020
Last updated 03/02/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 4450
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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