| Doctor Name: | DOMINICK MARINO |
| NPI Number: | 1770992562 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS., CCC-SLP |
| License Number: | O1-0001328 |
| Business Practice Address: | 126 W Pine St Apartment 10 Georgetown, DE - 199471893 |
| Business Phone Number: | 5705613687 |
| Business Fax Number: | |
| Mailing Address: | 126 W Pine St, Apartment 10 GEORGETOWN |
| State: | DE |
| Postal Code: | 199471893 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/06/2014 |
| NPI Last Update Date: | 08/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | O1-0001328 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| 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 |