Marlene Ann Harting, M.A.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146003324 Issued in IL

Practice address

3903 W Ridgeview Dr
Peoria, IL 61615-8706

Phone

(309) 243-7717

NPI assigned

Nov 15, 2023

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

State licenses

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1881468312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15503 WILLOW CRK",
            "city": "ELMWOOD",
            "state": "IL",
            "postal_code": "615299543",
            "telephone_number": "708-307-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 W RIDGEVIEW DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616158706",
            "telephone_number": "309-243-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTING",
        "first_name": "MARLENE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146003324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Harris, MSN, PMHNP-BC
• Stephen W Harris, MA LCPC
• Towanda Shanta Harris, M.D.
• John Charles Hart, D.P.M.
• Shelly Hart, MA, LCP
• Carolina Halina Hartje, DO
• Benjamin Hartter, P.T.
• Mary Amal Khoury Harvey, MD
• Richard Harvey, MD
• Gabrielle Grace Haskell

• Speech-Language Pathologist in Peoria, IL
• Providers in Peoria, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.