MEDICARE: MARILEE TIHEN-SARCHET CCC-SLP

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	SA6641	FL

General Provider Information

NPI Number	:	1629184247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARILEE TIHEN-SARCHET CCC-SLP

Provider Business Mailing Address
First Line	:	11549 TIMBERLINE CIR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-5702
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 MEDICAL LN
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1116
Country	:	US
Telephone Number	:	239-277-9818
Fax Number	:	239-277-9289

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

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	07/09/2007

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Directions to “ MARILEE TIHEN-SARCHET CCC-SLP” Practice Location

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