Organization
MARIONBERRY SPEECH THERAPY, LLC
Active
Other names
Marionberry Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA JOY BARTA (ADMIN)
(971) 208-3113
Entity
Organization
Contact information
Practice address
889 MORNING GLORY DR, INDEPENDENCE, OR 97351-9580
(971) 208-3113
(971) 456-0092
Mailing address
889 MORNING GLORY DR, INDEPENDENCE, OR 97351-9580
(971) 208-3113
(971) 456-0092
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
10/15/2024
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