Provider Demographics
NPI:1568828424
Name:MARIN, MARCEL (SLP)
Entity Type:Individual
Prefix:
First Name:MARCEL
Middle Name:
Last Name:MARIN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6471 MCCLELLAN ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-2029
Mailing Address - Country:US
Mailing Address - Phone:954-401-4181
Mailing Address - Fax:
Practice Address - Street 1:6471 MCCLELLAN ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-2029
Practice Address - Country:US
Practice Address - Phone:954-401-4181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist