| Mary Anne Maclellan, MA, CCC, SLP | |
|
1595 Grand Ave, Suite 110, San Marcos, CA 92078-2450 | |
| (760) 471-1198 | |
| (760) 471-5657 |
| Full Name | Mary Anne Maclellan |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1595 Grand Ave, San Marcos, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053440479 | NPI | - | NPPES |
| SP0049200 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP4920 (California) | Primary |
| Provider Name | Associated Speech Pathologists |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225167646 PECOS PAC ID: 7719377126 Enrollment ID: O20211129001219 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Anne Maclellan, MA, CCC, SLP 1595 Grand Ave, Suite 110, San Marcos, CA 92078-2450 Ph: (760) 471-1198 | Mary Anne Maclellan, MA, CCC, SLP 1595 Grand Ave, Suite 110, San Marcos, CA 92078-2450 Ph: (760) 471-1198 |
Amanda Clevers, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1595 Grand Ave, San Marcos, CA 92078 Phone: 760-471-1198 | |
Catherine Mccarthy-payne, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1595 Grand Ave Ste 110, San Marcos, CA 92078 Phone: 760-471-1198 Fax: 760-471-5657 | |
Pouyan Allahyari, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 812 Legacy Dr, San Marcos, CA 92069 Phone: 425-591-5860 | |
Associated Speech Pathologists Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1595 Grand Ave, Suite 110, San Marcos, CA 92078 Phone: 760-471-1198 Fax: 760-471-5657 | |
Jessica Wong, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 121 Dole Way, San Marcos, CA 92078 Phone: 760-571-4434 | |
Kelly Owen Le Roux, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1465 Chert Dr, San Marcos, CA 92078 Phone: 760-230-4313 |