MEDICARE: MARILYN ADAMS 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
2	235Z00000X	Speech-Language Pathologist	17810	TX

General Provider Information

NPI Number	:	1003999129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARILYN ADAMS SLP

Provider Business Mailing Address
First Line	:	7010 NW 100 DR. SUITE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-2052
Country	:	US
Telephone Number	:	713-462-6062
Fax Number	:	713-462-6066

Provider Business Practice Location Address
First Line	:	7010 NW 100 DR STE A104
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-2052
Country	:	US
Telephone Number	:	713-462-6060
Fax Number	:	713-462-6066

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	01/12/2012

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Directions to “ MARILYN ADAMS SLP” Practice Location

Language	Start Address	Practice Location

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