Marsh Speech Language Pathology, P.C.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

016133-1 Issued in NY

Legal business name

MARSH SPEECH LANGUAGE PATHOLOGY, P.C.

Practice address

926 Lorenz Ave
North Baldwin, NY 11510-2823

Phone

(516) 223-2604

NPI assigned

Jul 2, 2014

Organization subpart

No

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

Authorized official

Name

Shavon L St. Germain, MA, CCC-SLP

Title

President

Phone

(516) 223-2604

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1962818773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 LORENZ AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102823",
            "telephone_number": "516-223-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 LORENZ AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102823",
            "telephone_number": "516-223-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSH SPEECH LANGUAGE PATHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "ST. GERMAIN",
        "authorized_official_first_name": "SHAVON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-223-2604",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "016133-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Ann Magner, L.M.T.
• Fay Malcolm
• Robert P Mancuso, LCSW
• Maya Mangual
• Ester Marcellin, OTR
• Wendy A Marshall, B. S.
• Marcia Rose Martin Toussaint, NP
• Michelle Martinez, MS CCC-SLP
• Farah Mathurin, LPN
• Max Medical Care PC

• Early Intervention Provider Agency in North Baldwin, NY
• Providers in North Baldwin, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.