Laura Rose Marmorale, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA15223 Issued in FL

Practice address

16102 N Florida Ave
Lutz, FL 33549-6129

Phone

(813) 873-1936

Fax

(813) 873-8837

NPI assigned

Jul 24, 2017

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

Credentials

Master of Science

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 and National Provider Directory roles.

• Therakids Plus, Inc.

  • Clinic/Center
  • Lutz, FL
  • NPI 1760583637

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500854400000",
    "number": "1619490497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15420 LIVINGSTON AVE APT 421",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335593424",
            "telephone_number": "631-827-3926",
            "fax_number": "813-873-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16102 N FLORIDA AVE",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496129",
            "telephone_number": "813-873-1936",
            "fax_number": "813-873-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMORALE",
        "first_name": "LAURA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enrique Francisco Marchese, R.PH.
• Polly Marcone
• Miranda Lynn Marcum, RBT
• Tolunay T Markal
• Marla Jane Marks, M.S/SLP
• Megan Maronn, LCSW
• Alexis Marquess
• Angela Marie Martin, APRN
• Emily A Martin, P.A
• Jennifer Marie Martinc, OTR/L

• Speech-Language Pathologist in Lutz, FL
• Providers in Lutz, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.