Provider Demographics
NPI:1912552928
Name:YARIAN, MARLEY (MA, CCC-CF)
Entity Type:Individual
Prefix:
First Name:MARLEY
Middle Name:
Last Name:YARIAN
Suffix:
Gender:F
Credentials:MA, CCC-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8234 MELROSE LN
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-8373
Mailing Address - Country:US
Mailing Address - Phone:216-973-9464
Mailing Address - Fax:
Practice Address - Street 1:2316 SPRINGMILL RD
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45440-2504
Practice Address - Country:US
Practice Address - Phone:937-439-1454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-06
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.20191161-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist