Provider Demographics
NPI:1235897885
Name:SINGLETON, MARIAN JEANETTE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARIAN
Middle Name:JEANETTE
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2652 WINTERBERRY LN
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-5785
Mailing Address - Country:US
Mailing Address - Phone:936-615-5242
Mailing Address - Fax:
Practice Address - Street 1:300 LOBO LN
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-5216
Practice Address - Country:US
Practice Address - Phone:972-947-9451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113913235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist