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Contact Information

MARY AMBROSE, MA CCC-SLP
21160 MAPLE BRANCH TER
ASHBURN, VA20147-6160
 Phone: 571-291-6192
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MARY AMBROSE · (Female)

NPI Number 1538601042
Status Active
Credentials MA CCC-SLP
Entity Individual
Enumeration date 11/15/2016
Last updated 11/15/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 01078899
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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