Individual
MRS. MARILYN H MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2030 CHILHOWEE MEDICAL PARK, MARYVILLE, TN 37804-5285
(865) 982-3400
(865) 982-3410
Mailing address
PO BOX 5209, 2030CHILHOWEE MEDICAL PARK, MARYVILLE, TN 37802-5209
(865) 982-3400
(865) 982-3410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09145034
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09145034
ASHA NUMBER
CO
05
—
20608721
—
CO
Enumeration date
03/21/2006
Last updated
01/19/2010
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