Organization · Type 2 NPI
Peter J. Marincovich
Hearing and Speech Clinic/Center · Mendocino, CA
NPI number
1275888976
Active
Practice location
45080 Little Lake St
Mendocino, CA 95460
Fax (707) 937-3404
Mailing address
1111 Sonoma Ave, Suite 316
Santa Rosa, CA 95405-4819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hearing and Speech Clinic/Center Primary | 261QH0700X | AU758 (CA) |
Hearing and Speech Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
About NPI 1275888976
Peter J. Marincovich's National Provider Identifier is 1275888976, issued on Jul 18, 2012. The primary taxonomy on file is Hearing and Speech Clinic/Center (261QH0700X), and the practice location is in Mendocino, CA. The record was last updated on May 10, 2017.