Donette Faye Marks, SLPA
Individual provider Active NPI Speech-Language Assistant · Burbank, WA
NPI 1972857100 · NPPES record last updated Nov 9, 2012
Key facts
- NPI
- 1972857100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- SP60241672 (WA)
- Practice address
- 755 Maple St
Burbank, WA 99323-8523 - Phone
- (509) 547-2136
- Fax
- (509) 546-0603
- NPI assigned
- Nov 9, 2012
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP60241672 | WA | MD | Speech-Language Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SP60241672 | WA | Yes |
Addresses
Primary practice location
755 Maple St
Burbank, WA 99323-8523
Mailing address
755 Maple St
Burbank, WA 99323-8523
Phone (509) 547-2136
Other names
- Mrs. Donette Faye Miller
Other providers in Burbank, WA
- Bridgecare Home Health & Infusions
- Columbia School District Burbank #400
- Marisa Dexter
- Jamie Ellis
- Shelie Greco
- Shellie M. Michael
- Michelle Lyn Nelson
- Katie Olson
- Maria Cano Stenkamp
- Therapy Options LLC
All providers in Burbank, WA · Speech-Language Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.