Provider Demographics
NPI:1629369863
Name:POYNTON-MARSH, MICHELE LYNN (MA, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:LYNN
Last Name:POYNTON-MARSH
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1632 SAVANNAH RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1659
Mailing Address - Country:US
Mailing Address - Phone:302-644-1220
Mailing Address - Fax:302-827-4382
Practice Address - Street 1:19812 SHIRLING LN
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-3506
Practice Address - Country:US
Practice Address - Phone:302-519-3320
Practice Address - Fax:302-827-4382
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE01-0000725235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist