Doctor Name: | GIANDI MARCHENA |
NPI Number: | 1285980615 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA-CCC/SLP |
License Number: | 06867 |
Business Practice Address: | 731 N Stokes St # A Havre De Grace, MD - 210782744 |
Business Phone Number: | 4074618054 |
Business Fax Number: | |
Mailing Address: | 731 N Stokes St #a, HAVRE DE GRACE |
State: | MD |
Postal Code: | 21078 |
Phone Number: | 4074618054 |
Fax Number: | |
NPI Enumeration Date: | 08/03/2012 |
NPI Last Update Date: | 08/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 06867 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |