Doctor Name: | MRS. SAMANTHA JOY MARSH |
NPI Number: | 1922400183 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | 7101001058 |
Business Practice Address: | 1525 Ridgewood Dr Midland, MI - 486426425 |
Business Phone Number: | 9898356333 |
Business Fax Number: | |
Mailing Address: | 5305 Eagles Way, Apt 8 MOUNT PLEASANT |
State: | MI |
Postal Code: | 488587382 |
Phone Number: | 9894238785 |
Fax Number: | |
NPI Enumeration Date: | 09/19/2014 |
NPI Last Update Date: | 09/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7101001058 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |