| Doctor Name: | MATTHEW MOSES MARURE |
| NPI Number: | 1366681140 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | SLP9365 |
| Business Practice Address: | 17100 E Shea Blvd Ste 225 Fountain Hills, AZ - 852686744 |
| Business Phone Number: | 4808374565 |
| Business Fax Number: | 8889578277 |
| Mailing Address: | 121 Ward Pkwy Apt 906, KANSAS CITY |
| State: | MO |
| Postal Code: | 641122120 |
| Phone Number: | 4432435801 |
| Fax Number: | |
| NPI Enumeration Date: | 02/18/2009 |
| NPI Last Update Date: | 05/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP9365 |
| 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 |