Individual
MRS. SAMANTHA JOY MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1525 RIDGEWOOD DR, MIDLAND, MI 48642-6425
(989) 835-6333
Mailing address
5305 EAGLES WAY, APT 8, MOUNT PLEASANT, MI 48858-7382
(989) 423-8785
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001058
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7101001058
STATE OF MICHIGAN
MI
Enumeration date
09/19/2014
Last updated
09/19/2014
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