Individual
STEPHANIE JILL MARZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1086 NW STANNIUM RD, BEND, OR 97701-2165
(541) 382-2585
(541) 382-2585
Mailing address
1086 NW STANNIUM RD., BEND, OR 97701
(541) 382-2585
(541) 382-2585
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11604
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297166
—
OR
Enumeration date
03/03/2007
Last updated
07/08/2007
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