Provider Demographics
NPI:1326270596
Name:MARCHESE, ANNMARIE MARGARET (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANNMARIE
Middle Name:MARGARET
Last Name:MARCHESE
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 1:109 ARVIDA CRES
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-6260
Mailing Address - Country:US
Mailing Address - Phone:919-454-6610
Mailing Address - Fax:
Practice Address - Street 1:109 ARVIDA CRES
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-6260
Practice Address - Country:US
Practice Address - Phone:919-454-6610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4736235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist