Provider Demographics
NPI:1477952885
Name:HOYNG, MARIE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:HOYNG
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:
Other - Last Name:MOELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA,CCC-SLP
Mailing Address - Street 1:2025 HANLEY RD
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-6734
Mailing Address - Country:US
Mailing Address - Phone:419-852-5575
Mailing Address - Fax:636-561-5755
Practice Address - Street 1:2025 HANLEY RD
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-6734
Practice Address - Country:US
Practice Address - Phone:419-852-5575
Practice Address - Fax:636-561-5755
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016024380235Z00000X
VA2202007529235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist