# MARSH SPEECH LANGUAGE PATHOLOGY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962818773
- **Authorized official:** SHAVON L ST. GERMAIN MA, CCC-SLP (PRESIDENT)
- **Authorized official phone:** (516) 223-2604

## Contact information

- **Practice address:** 926 LORENZ AVE, NORTH BALDWIN, NY 11510-2823
- **Practice address phone:** (516) 223-2604
- **Mailing address:** 926 LORENZ AVE, NORTH BALDWIN, NY 11510-2823
- **Mailing address phone:** (516) 223-2604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 016133-1 | NY | Yes |

## Other

- **Enumeration date:** 07/02/2014
- **Last updated:** 07/02/2014
