Doctor Name: | DR. JEFFREY A MARLER |
NPI Number: | 1548678741 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD CCC-SLP |
License Number: | 107831 |
Business Practice Address: | 430 N Carroll Ave Suite 110 Southlake, TX - 760926452 |
Business Phone Number: | 8174165374 |
Business Fax Number: | |
Mailing Address: | 430 N Carroll Ave Ste 110, SOUTHLAKE |
State: | TX |
Postal Code: | 760926452 |
Phone Number: | 8174165374 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2014 |
NPI Last Update Date: | 07/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 107831 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |