MEDICARE: PATRICIA LAURA MARCHETTI M.S.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	013559	NY

General Provider Information

NPI Number	:	1255705372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA LAURA MARCHETTI M.S.SLP

Provider Business Mailing Address
First Line	:	4 HEWITT AVE
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-3906
Country	:	US
Telephone Number	:	917-757-5145
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 HEWITT AVE
Second Line	:	WHITE PLAINS
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-3906
Country	:	US
Telephone Number	:	917-757-5145
Fax Number	:

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

Provider Enumeration Date	:	12/01/2015
Last Update Date	:	04/11/2016

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