Provider Demographics
NPI:1437289790
Name:ZARET, MARNI E (MA,CCC, SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARNI
Middle Name:E
Last Name:ZARET
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 1:8 EMPIRE CT
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-6704
Mailing Address - Country:US
Mailing Address - Phone:631-920-7712
Mailing Address - Fax:
Practice Address - Street 1:8 EMPIRE CT
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-6704
Practice Address - Country:US
Practice Address - Phone:631-920-7712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010009-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist