Provider Demographics
NPI:1609096163
Name:PINKIN-TROYK, MARIANNE (MS,CCC-A)
Entity Type:Individual
Prefix:MS
First Name:MARIANNE
Middle Name:
Last Name:PINKIN-TROYK
Suffix:
Gender:F
Credentials:MS,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6027 CAPULINA AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-2935
Mailing Address - Country:US
Mailing Address - Phone:773-296-7655
Mailing Address - Fax:
Practice Address - Street 1:6027 CAPULINA AVE
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-2935
Practice Address - Country:US
Practice Address - Phone:773-296-7655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist