Marilyn Cleary
Individual provider Active NPI Speech-Language Pathologist · Severn, MD
NPI 1104946334 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104946334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 04251 (MD)
- Practice address
- 334 Fairfield Dr
Severn, MD 21144-3459 - Phone
- (410) 519-8962
- NPI assigned
- Mar 30, 2007
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04251 | MD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 04251 | MD | Yes |
Addresses
Primary practice location
334 Fairfield Dr
Severn, MD 21144-3459
Mailing address
334 Fairfield Dr
Severn, MD 21144-3459
Other providers in Severn, MD
- Karen Arlinda Cartwright
- Cataplasma Healthcare Services LLC
- Centerpeace Home Care
- Centrepointe Counseling, Inc.
- Christopher Channing
- Laura Collins I
- Connections Behavioral Health LLC
- Chelsea Cowden
- William Arthur Cox
- Emily Marie Crum
All providers in Severn, MD · Speech-Language Pathologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.