| Doctor Name: | ANNE MARCONI |
| NPI Number: | 1609031939 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SL004550L |
| Business Practice Address: | 917 Beville Rd Suite G South Daytona, FL - 321191712 |
| Business Phone Number: | 3867564395 |
| Business Fax Number: | 8664262811 |
| Mailing Address: | 330 Las Colinas Blvd E, #270 IRVING |
| State: | TX |
| Postal Code: | 750395510 |
| Phone Number: | 2156805584 |
| Fax Number: | |
| NPI Enumeration Date: | 07/25/2008 |
| NPI Last Update Date: | 07/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL004550L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |