Provider Demographics
NPI:1649441239
Name:RITCHIE, MARIAN P (SLP)
Entity type:Individual
Prefix:
First Name:MARIAN
Middle Name:P
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 COUNTY ROAD 726
Mailing Address - Street 2:
Mailing Address - City:WYNNE
Mailing Address - State:AR
Mailing Address - Zip Code:72396-8025
Mailing Address - Country:US
Mailing Address - Phone:870-238-7134
Mailing Address - Fax:
Practice Address - Street 1:45 COUNTY ROAD 726
Practice Address - Street 2:
Practice Address - City:WYNNE
Practice Address - State:AR
Practice Address - Zip Code:72396-8025
Practice Address - Country:US
Practice Address - Phone:870-238-7134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-21
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#P7797235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist