Doctor Name: | MEREDITH T MARCUS |
NPI Number: | 1245549294 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | A9622739 |
Business Practice Address: | 2208 Sherman Way Suite #206 Canoga Park, CA - 91303 |
Business Phone Number: | 8188845103 |
Business Fax Number: | 8188845369 |
Mailing Address: | 20243 Londelius St, WINNETKA |
State: | CA |
Postal Code: | 913061132 |
Phone Number: | 5625220111 |
Fax Number: | 8188829026 |
NPI Enumeration Date: | 09/24/2010 |
NPI Last Update Date: | 09/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | A9622739 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |