Individual
MARSHA R. MARONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
900 CHEYENNE RD, NIXA, MO 65714-7639
(417) 225-1636
Mailing address
900 CHEYENNE RD, NIXA, MO 65714-7639
(417) 225-1636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2007023406
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M205186004
MO DRIVER LICENSE
MO
Enumeration date
11/28/2006
Last updated
05/22/2013
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