Doctor Name: | MS. MARILYN MARCUS |
NPI Number: | 1790081305 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP/CCC |
License Number: | 10252 |
Business Practice Address: | 735 S 2nd St Creswell, OR - 974267507 |
Business Phone Number: | 9716730220 |
Business Fax Number: | |
Mailing Address: | 2450 Adams St, EUGENE |
State: | OR |
Postal Code: | 974052241 |
Phone Number: | 5413438163 |
Fax Number: | |
NPI Enumeration Date: | 01/28/2011 |
NPI Last Update Date: | 01/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 10252 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |