Marilyn Spencer, M.C.D. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

380 Issued in OK

Practice address

2500 S Sangre Rd
Stillwater, OK 74074-2151

Phone

(405) 707-5554

NPI assigned

May 15, 2015

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1194103663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S SAVANNAH DR",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740741819",
            "telephone_number": "405-612-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S SANGRE RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740742151",
            "telephone_number": "405-707-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "MARILYN",
        "name_prefix": "Mrs.",
        "credential": "M.C.D. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Central Emergency Services PC
• Jonica Sowell, M.S., CCC-SLP
• Dillon C. Sparks
• Craig D Spaulding, D.D.S.,PC
• Rebecca Ann Speer, PT
• Lydon Sperry
• Kristal Rose Spitler
• Gregory David Springfield
• Debra Sue Stafford, COUNSELOR
• Bobby Staneart

• Speech-Language Pathologist in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.