Alicia Ann Marquis-Serson, SLP
Individual provider Active NPI Speech-Language Pathologist · Stone Ridge, NY
NPI 1023388147 · NPPES record last updated Jan 5, 2012
Key facts
- NPI
- 1023388147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 016814 (NY)
- Practice address
- 122 Kyserike Road
Stone Ridge, NY 12484 - Phone
- (845) 687-2400
- NPI assigned
- Jan 5, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 016814 | NY | Yes |
Addresses
Primary practice location
122 Kyserike Road
Stone Ridge, NY 12484
Mailing address
122 Kyserike Road
Stone Ridge, NY 12484
Phone (845) 687-2400
Other providers in Stone Ridge, NY
- Krista L Kelly
- Nancy Lynn Keyasko
- Robert Klein
- Deirdre Malinske
- Patricia G Malone
- Karen L. Marsh
- Kaley Mason
- Randi Menkes
- Nancy Meyer-Emerick
- Mindhealth Psychological Services, PLLC
All providers in Stone Ridge, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.