Provider Demographics
NPI:1164461141
Name:MAYFIELD, MARCIA SKEEN (MA,CCC-PC)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:SKEEN
Last Name:MAYFIELD
Suffix:
Gender:F
Credentials:MA,CCC-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9398 VISCOUNT BLVD
Mailing Address - Street 2:9398 VISCOUNT STE 5B
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-8028
Mailing Address - Country:US
Mailing Address - Phone:915-592-4184
Mailing Address - Fax:915-592-3312
Practice Address - Street 1:9398 VISCOUNT BLVD
Practice Address - Street 2:9398 VISCOUNT BLVD STE 5B
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-8028
Practice Address - Country:US
Practice Address - Phone:915-592-4184
Practice Address - Fax:915-592-3312
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10349235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist