Jeannine Lynn Marmaduke

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

100298 Issued in TX

Practice address

4402 Normandy Ave
Dallas, TX 75205-2044

Phone

(214) 219-0740

NPI assigned

Mar 12, 2007

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)

Enrolled

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740312743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 NORMANDY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052044",
            "telephone_number": "214-219-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 NORMANDY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052044",
            "telephone_number": "214-219-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMADUKE",
        "first_name": "JEANNINE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlobo Iom, LLC
• Gary John Marlow, M.D.
• George Scott Marlow, MD
• Ryan Marlow
• Brannon Marlowe, MD
• Joanna Thulin Marmaro, NP-C
• Shashidhar Rao Marneni, MD
• Brehyn Marohl, MA, OTR
• Bradley Franklin Marple, MD
• Patrick Curtin Marquardt

• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.