SearchCalifornia235Z00000X

Marylyn Lucas, SLP

NPI 1992040968 · on the registry since 2012 · sole proprietor

Practice

Address
5819 Chenault Dr
Modesto, CA 95356
Phone
(209) 572-0793
Organisation at this address
Blossom Speech And Language Therapy Tn, Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-12-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California