Provider Demographics
NPI:1588639298
Name:NANA, MARCIA GIRLING (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:GIRLING
Last Name:NANA
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:5640 SUWANEE RD
Mailing Address - Street 2:
Mailing Address - City:FAIRWAY
Mailing Address - State:KS
Mailing Address - Zip Code:66205-3306
Mailing Address - Country:US
Mailing Address - Phone:816-756-0708
Mailing Address - Fax:816-756-1677
Practice Address - Street 1:5640 SUWANEE RD
Practice Address - Street 2:
Practice Address - City:FAIRWAY
Practice Address - State:KS
Practice Address - Zip Code:66205-3306
Practice Address - Country:US
Practice Address - Phone:816-756-0708
Practice Address - Fax:816-756-1677
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO105077235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist