Active NPI
Marley Gozick
- Speech-Language Pathologist
- Hazleton, PA
National Provider Identifier
1922518984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL013673
- Practice address
- 1000 Stacie Dr
Hazleton, PA 18201-5690 - Phone
- (570) 453-5110
- NPI assigned
- Oct 4, 2017
- Last updated
- Oct 4, 2017
- 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 | SL013673 | PA | Primary |
Addresses
Primary practice location
1000 Stacie Dr
Hazleton, PA 18201-5690
Mailing address
1000 Stacie Dr
Hazleton, PA 18201-5690
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 |
|---|---|---|---|
| SL013673 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507075200000",
"number": "1922518984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 STACIE DR",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182015690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 STACIE DR",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182015690",
"telephone_number": "570-453-5110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOZICK",
"first_name": "MARLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-04",
"last_updated": "2017-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL013673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazleton, PA
- Stephan R Glicken, MD
- Janet Ann Golaszewski, DMD M ED
- Diego De Jesus Gonzalez, MD
- Lori Ann Gormley, R.PH.
- Deborah Anne Gorski, MD
- Erica Grant, OTRL
- Aurielle Graziano, DC
- Greater Hazleton Radiology Associates (Hazleton - St Joes - Professional Services)
- Greater Hazleton Radiology Associates (Hazleton Imaging Center - Professional Services)
- Greater Hazleton Radiology Associates, LLC (Hazleton General Hospital - Professional Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.