Provider Demographics
NPI:1740533694
Name:MARCUS, LOUISE E (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LOUISE
Middle Name:E
Last Name:MARCUS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W BECK WAY
Mailing Address - Street 2:
Mailing Address - City:WARDEN
Mailing Address - State:WA
Mailing Address - Zip Code:98857-9401
Mailing Address - Country:US
Mailing Address - Phone:509-349-2366
Mailing Address - Fax:509-349-2367
Practice Address - Street 1:101 W BECK WAY
Practice Address - Street 2:
Practice Address - City:WARDEN
Practice Address - State:WA
Practice Address - Zip Code:98857-9401
Practice Address - Country:US
Practice Address - Phone:509-349-2366
Practice Address - Fax:509-349-2367
Is Sole Proprietor?:No
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA378630H235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist