Provider Demographics
NPI:1669594081
Name:HARROLD, MARTA SABOL (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MARTA
Middle Name:SABOL
Last Name:HARROLD
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 1:181 S LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-3671
Mailing Address - Country:US
Mailing Address - Phone:630-776-6162
Mailing Address - Fax:
Practice Address - Street 1:181 S LINDEN AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-3671
Practice Address - Country:US
Practice Address - Phone:630-776-6162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146-007257235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist