Healthcare Provider Details

I. General information

NPI: 1225175326
Provider Name (Legal Business Name): MARLENE MARTON M.S. CCC SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 LONG SHOALS RD STE B
ARDEN NC
28704-7708
US

IV. Provider business mailing address

4 LONG SHOALS RD STE B
ARDEN NC
28704-7708
US

V. Phone/Fax

Practice location:
  • Phone: 954-494-5798
  • Fax: 828-579-4262
Mailing address:
  • Phone: 954-494-5798
  • Fax: 828-579-4262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14633
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA5531
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: