| Doctor Name: | KERRI LEIGH MARX |
| NPI Number: | 1275702219 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SP#1744 |
| Business Practice Address: | 714 W Grove St El Dorado, AR - 717304416 |
| Business Phone Number: | 8708638194 |
| Business Fax Number: | 8708814600 |
| Mailing Address: | 2309 W Oak St, EL DORADO |
| State: | AR |
| Postal Code: | 717305220 |
| Phone Number: | 8708648982 |
| Fax Number: | |
| NPI Enumeration Date: | 02/25/2008 |
| NPI Last Update Date: | 02/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP#1744 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| 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 |