Active NPI
Marla Jolicoeur
- Speech-Language Pathologist
- Forest Hills, NY
National Provider Identifier
1467827238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 116499
- Practice address
- 7000 Austin St Ste 200
Forest Hills, NY 11375-4739 - Phone
- (718) 762-7633
- NPI assigned
- Dec 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 116499 | TX | Primary |
Addresses
Primary practice location
7000 Austin St Ste 200
Forest Hills, NY 11375-4739
Mailing address
4040 Spring Valley Rd Apt 101C
Dallas, TX 75244-3814
Phone (203) 919-9197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116499 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1467827238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 SPRING VALLEY RD APT 101C",
"city": "DALLAS",
"state": "TX",
"postal_code": "752443814",
"telephone_number": "203-919-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 AUSTIN ST STE 200",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754739",
"telephone_number": "718-762-7633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLICOEUR",
"first_name": "MARLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-05",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "116499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.