Doctor Name: | ELLEN STEPHANIE MARCUS |
NPI Number: | 1295985588 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC/SLP, DMA |
License Number: | 2562 |
Business Practice Address: | 101 Manning Drive, Neurosciences Bldg. Room G0303, Dept Of Audiology And Speech Pathology Chapel Hill, NC - 275144220 |
Business Phone Number: | 9198430425 |
Business Fax Number: | 9199668690 |
Mailing Address: | 211 Friday Center Dr, Suite 2091, Room 2012 CHAPEL HILL |
State: | NC |
Postal Code: | 275179499 |
Phone Number: | 9199660420 |
Fax Number: | 9199669983 |
NPI Enumeration Date: | 09/24/2008 |
NPI Last Update Date: | 09/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |