Provider Demographics
NPI:1336037530
Name:MARIN, KELSIE L (AUD)
Entity type:Individual
Prefix:
First Name:KELSIE
Middle Name:L
Last Name:MARIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 SHREWSBURY CT
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-5451
Mailing Address - Country:US
Mailing Address - Phone:724-504-7386
Mailing Address - Fax:724-504-7386
Practice Address - Street 1:99 WOLF CREEK BLVD STE 3
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-4968
Practice Address - Country:US
Practice Address - Phone:302-674-2502
Practice Address - Fax:302-674-2504
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist