Individual provider · Type 1 NPI
Mariam Lostracco
Speech-Language Assistant · Palm Desert, CA
NPI number
1891645040
Active
Practice location
41470 Kansas St
Palm Desert, CA 92211-7902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 6533 (CA) |
Speech-Language Assistant: Definition to come...
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About NPI 1891645040
Mariam Lostracco's National Provider Identifier is 1891645040, issued on Jan 29, 2026. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Palm Desert, CA. The record was last updated on Jan 29, 2026.