Doctor Name: | MARLA RHEA MARSHALL |
NPI Number: | 1194062174 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | |
Business Practice Address: | 639 W Chestnut Expy Springfield, MO - 658023935 |
Business Phone Number: | 4175237500 |
Business Fax Number: | 4175237695 |
Mailing Address: | 3597 W Village Ter, SPRINGFIELD |
State: | MO |
Postal Code: | 658101014 |
Phone Number: | 4176930755 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2013 |
NPI Last Update Date: | 01/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |