Doctor Name: | MARILYN E HERBERT |
NPI Number: | 1275677106 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SLPL1750 |
Business Practice Address: | 16000 E Palisades Blvd Fountain Hills, AZ - 852683131 |
Business Phone Number: | 4806645403 |
Business Fax Number: | |
Mailing Address: | 16000 E Palisades Blvd, FOUNTAIN HILLS |
State: | AZ |
Postal Code: | 852683131 |
Phone Number: | 4806645403 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLPL1750 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |