Individual
KAYLA MARBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CFY SLP
Contact information
Practice address
4121 PENNSYLVANIA AVE, DUBUQUE, IA 52002-2628
(563) 583-4003
(563) 583-4737
Mailing address
4121 PENNSYLVANIA AVE, DUBUQUE, IA 52002-2628
(563) 583-4003
(563) 583-4737
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
077358
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665950
—
IA
01
—
166595
MEDICARE
IA
Enumeration date
08/26/2015
Last updated
08/26/2015
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