Healthcare Provider Details

I. General information

NPI: 1043617301
Provider Name (Legal Business Name): MARILYN MUNKER'S SWEET TALKERS SPEECH THERAPY FOR CHILDREN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2014
Last Update Date: 08/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 MOUNT ROSE ST
RENO NV
89509-3419
US

IV. Provider business mailing address

680 LESTER AVE
RENO NV
89502-2606
US

V. Phone/Fax

Practice location:
  • Phone: 775-240-0667
  • Fax:
Mailing address:
  • Phone: 775-240-0667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License NumberSP-683
License Number StateNV

VIII. Authorized Official

Name: MARILYN MUNKER
Title or Position: FOUNDER, SPEECH PATHOLOGIST
Credential: MS, CCC-SLP
Phone: 775-240-0667