Provider Demographics
NPI:1275773244
Name:MARSHA ZAHN, SPEECH PATHOLOGIST P.C.
Entity Type:Organization
Organization Name:MARSHA ZAHN, SPEECH PATHOLOGIST P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:LOU
Authorized Official - Last Name:ZAHN
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CCC/SLP
Authorized Official - Phone:405-840-2023
Mailing Address - Street 1:2708 N.W. 61ST ST.
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-7030
Mailing Address - Country:US
Mailing Address - Phone:405-840-2023
Mailing Address - Fax:405-840-2023
Practice Address - Street 1:2708 N.W. 61ST ST.
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-7030
Practice Address - Country:US
Practice Address - Phone:405-840-2023
Practice Address - Fax:405-840-2023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK#355235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100745700AMedicaid