Individual
MARIEL AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1831 W ROSE GARDEN LN STE 4, PHOENIX, AZ 85027-2725
(602) 808-9912
Mailing address
42211 N 41ST DR STE 145, ANTHEM, AZ 85086-3812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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