Provider Demographics
NPI:1609596196
Name:MEJIA TURNBULL, MARIANA (AUD)
Entity Type:Individual
Prefix:DR
First Name:MARIANA
Middle Name:
Last Name:MEJIA TURNBULL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2739 MILES AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-3007
Mailing Address - Country:US
Mailing Address - Phone:929-412-5036
Mailing Address - Fax:
Practice Address - Street 1:222 E 41ST ST FL 8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6739
Practice Address - Country:US
Practice Address - Phone:212-263-7567
Practice Address - Fax:212-263-3330
Is Sole Proprietor?:No
Enumeration Date:2022-09-02
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3111231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist