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NPI Code Detail

MEDICARE: JADA MARSHALL MA CCC-SLP

MEDICARE:   JADA  MARSHALL  MA 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
1235Z00000XSpeech-Language Pathologist22009511AIN

General Provider Information

NPI Number : 1710875778
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADA MARSHALL MA CCC-SLP
Provider Business Mailing Address
First Line : 1353 E MAIN ST
Second Line :
City : BROWNSBURG
State : IN
Zip : 46112-1433
Country : US
Telephone Number : 317-520-4748
Fax Number :
Provider Business Practice Location Address
First Line : 4695 E NORTHFIELD DR
Second Line :
City : BROWNSBURG
State : IN
Zip : 46112-1784
Country : US
Telephone Number : 317-520-4748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2025
Last Update Date : 05/20/2026

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Directions to “ JADA MARSHALL MA CCC-SLP” Practice Location

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