| Doctor Name: | MARCIA D ROBERTS |
| NPI Number: | 1558605568 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BA |
| License Number: | SP60236453 |
| Business Practice Address: | 11104 Ne 149th St Brush Prairie, WA - 986069565 |
| Business Phone Number: | 3608855300 |
| Business Fax Number: | |
| Mailing Address: | Po Box 200, BATTLE GROUND |
| State: | WA |
| Postal Code: | 986040200 |
| Phone Number: | 3608855300 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2012 |
| NPI Last Update Date: | 11/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | SP60236453 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |