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Peter J. Marincovich
Hearing and Speech Clinic/Center in Mendocino, California
NPI 1275888976

Peter J. Marincovich is a Hearing and Speech Clinic/Center based in Santa Rosa, CA and is specialized in Hearing and Speech. Peter J. Marincovich practices in Mendocino, CA. The NPI Number for Peter J. Marincovich is 1275888976 and holds a License No. AU758 (California).

The current practice location address for Peter J. Marincovich is 45080 Little Lake St, Mendocino, CA and can be reached out via phone at 707-937-4667 and via fax at 707-937-3404.

Location: 45080 Little Lake St, Mendocino, CA, 95405-4819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275888976
Provider Name
Peter J. Marincovich
Credential
Provider Entity Type
Organization
Address
45080 Little Lake St, Mendocino, CA, 95405-4819
Phone Number
707-937-4667
Fax Number
707-937-3404
Provider Enumeration Date
07/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
45080 Little Lake St
City
Mendocino
State
California
Zip
95460
Phone Number
707-937-4667
Fax Number
707-937-3404
person
Provider Business Mailing Address Details
Address
45080 Little Lake St
City
Mendocino
State
California
Zip
95460
Phone Number
707-937-4667
Fax Number
707-937-3404
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Hearing and Speech
Taxonomy
261QH0700X
License No.
AU758 (California)
Definition
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.
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