MEDICARE: MARIE MOCK

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	235Z00000X	Speech-Language Pathologist	7623	NC

General Provider Information

NPI Number	:	1588875975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE MOCK

Provider Business Mailing Address
First Line	:	1545 OLD US 221 S
Second Line	:
City	:	MARION
State	:	NC
Zip	:	28752-8787
Country	:	US
Telephone Number	:	828-738-4220
Fax Number	:

Provider Business Practice Location Address
First Line	:	172 LUKIN ST
Second Line	:
City	:	MARION
State	:	NC
Zip	:	28752-5245
Country	:	US
Telephone Number	:	828-652-6580
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	03/27/2026

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Directions to “ MARIE MOCK ” Practice Location

Language	Start Address	Practice Location

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