Leslie Marcelain, SLP M. ED

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6633 Issued in OH

Practice address

1945 Tamarack Rd
Newark, OH 43055-1300

Phone

(740) 349-9777

NPI assigned

Sep 7, 2012

Last updated

Sep 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Executive Rehab Services

  • Speech-Language Pathologist
  • Newark, OH
  • NPI 1043569353
  NPD (past)
• Executive Rehab Services LTD.

  • Specialist
  • Newark, OH
  • NPI 1972678100
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1144579988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 W CHURCH ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551300",
            "telephone_number": "740-349-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELAIN",
        "first_name": "LESLIE",
        "credential": "SLP M. ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "6633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Newark, OH
• Providers in Newark, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.