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NPI Code Detail

MEDICARE: MARLYNE JEAN-PIERRE M.S.

MEDICARE:   MARLYNE  JEAN-PIERRE  M.S.
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
1235Z00000XSpeech-Language Pathologist15945CA
2235Z00000XSpeech-Language Pathologist12738FL

General Provider Information

NPI Number : 1487888640
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLYNE JEAN-PIERRE M.S.
Provider Business Mailing Address
First Line : 1502 N DONNELLY ST
Second Line : STE 109
City : MOUNT DORA
State : FL
Zip : 32757-2846
Country : US
Telephone Number : 352-729-2277
Fax Number :
Provider Business Practice Location Address
First Line : 1502 N DONNELLY ST
Second Line : STE 109
City : MOUNT DORA
State : FL
Zip : 32757-2846
Country : US
Telephone Number : 352-729-2277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2009
Last Update Date : 08/20/2019

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Directions to “ MARLYNE JEAN-PIERRE M.S.” Practice Location

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