Provider Demographics
NPI:1073100871
Name:MARSHALL, TONI DANIELLE (MS)
Entity Type:Individual
Prefix:MRS
First Name:TONI
Middle Name:DANIELLE
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:TONI
Other - Middle Name:DANIELLE
Other - Last Name:PIAZZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:26 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-1924
Mailing Address - Country:US
Mailing Address - Phone:781-856-6083
Mailing Address - Fax:
Practice Address - Street 1:26 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-1924
Practice Address - Country:US
Practice Address - Phone:781-856-6083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA77567235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist