MEDICARE: MARILYN MUNKER'S SWEET TALKERS SPEECH THERAPY FOR CHILDREN, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0700X	Hearing and Speech Clinic/Center	SP-683	NV

General Provider Information

NPI Number	:	1043617301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARILYN MUNKER'S SWEET TALKERS SPEECH THERAPY FOR CHILDREN, PLLC

Provider Business Mailing Address
First Line	:	680 LESTER AVE
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-2606
Country	:	US
Telephone Number	:	775-240-0667
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 MOUNT ROSE ST
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-3419
Country	:	US
Telephone Number	:	775-240-0667
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER, SPEECH PATHOLOGIST
Name	:	MARILYN MUNKER
Credential	:	MS, CCC-SLP
Telephone Number	:	775-240-0667

Provider Enumeration Date	:	12/01/2014
Last Update Date	:	08/26/2015

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