Individual
ALETHEA ST.BERNARD MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED TSHH
Contact information
Practice address
984 E 94TH ST, BROOKLYN, NY 11236-2024
(646) 261-3418
Mailing address
984 E 94TH ST, BROOKLYN, NY 11236-2024
(646) 261-3418
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4154
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4154
EARLY INTERVENTION STATE ID#4154
NY
Enumeration date
08/07/2013
Last updated
08/07/2013
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