Mary Peterson Marchand, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2948 Issued in LA

Practice address

415 Mayfair Dr
Bossier City, LA 71111-2223

Phone

(318) 216-6125

NPI assigned

Jun 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1700149986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MAYFAIR DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112223",
            "telephone_number": "318-216-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MAYFAIR DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112223",
            "telephone_number": "318-216-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHAND",
        "first_name": "MARY",
        "middle_name": "PETERSON",
        "name_prefix": "Ms.",
        "credential": "CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107837",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "2948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Manor, PHARMD
• Janessa L Maple
• Christie C Maranto, APRN-BC,FNP
• Molly Henderson Maranto, PA-C
• William F. Maranto, M.D.
• Margo Malone
• Roy Vance Markham, M.D.
• Jacoby Marshall, AP
• Caitlyn Martin, RBT
• Jordan Martin

• Speech-Language Pathologist in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.