Provider Demographics
NPI:1316178759
Name:MCNEILL, MARCIE L (MA/CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MARCIE
Middle Name:L
Last Name:MCNEILL
Suffix:
Gender:F
Credentials:MA/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 S GILPIN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2616
Mailing Address - Country:US
Mailing Address - Phone:303-325-7386
Mailing Address - Fax:
Practice Address - Street 1:411 S GILPIN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-2616
Practice Address - Country:US
Practice Address - Phone:303-325-7386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist