Holle Ahna Maricle, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01491 Issued in IA

Practice address

700 Waverly Rd
Davenport, IA 52804-4317

Phone

(563) 324-1651

Fax

(563) 324-1651

NPI assigned

Sep 30, 2013

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1265869713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WAVERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528044317",
            "telephone_number": "563-324-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WAVERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528044317",
            "telephone_number": "563-324-1651",
            "fax_number": "563-324-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARICLE",
        "first_name": "HOLLE",
        "middle_name": "AHNA",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "01491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Mansfield, LISW
• Barbara A Mansholt, D.C.
• Angelita Manuel, DNP
• France B Many, ARNP
• Melissa Ann Maranda, MA, LMHC
• Stephen E. Marinan, LISW
• Marisa Mansfield, PLC
• Amanda Markovich, OTR/L
• Vicky Jo Marland, RPH
• Julia Marmion, PH.D.

• Speech-Language Pathologist in Davenport, IA
• Providers in Davenport, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.