Doctor Name: | MRS. MICHELLE MARCIANO |
NPI Number: | 1174813745 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS. C-C-C SLP |
License Number: | 019330-1 |
Business Practice Address: | 445 Central Ave Cedarhurst, NY - 11516 |
Business Phone Number: | 5163743377 |
Business Fax Number: | |
Mailing Address: | 6429 Elray Drive, Apt. B BALTIMORE |
State: | MD |
Postal Code: | 21209 |
Phone Number: | 4103581843 |
Fax Number: | |
NPI Enumeration Date: | 04/15/2011 |
NPI Last Update Date: | 04/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 019330-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |