Marla Bruton, M.S., CF-SLP

Individual provider Active NPI Speech-Language Pathologist · Stanardsville, VA

NPI 1972092484 · NPPES record last updated May 9, 2018

Key facts

NPI
1972092484
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2202008623 (VA)
Practice address
64 Monroe Dr
Stanardsville, VA 22973-2850
Phone
(434) 939-9002
NPI assigned
May 9, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2202008623VAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202008623 VA Yes

Addresses

Primary practice location

64 Monroe Dr
Stanardsville, VA 22973-2850

Mailing address

273 Mayo Dr
St George, VA 22935-1370
Phone (434) 939-9002

Other providers in Stanardsville, VA

All providers in Stanardsville, VA · Speech-Language Pathologist in Virginia

Sources for this page

Verify at the official NPI Registry.