MEDICARE: MRS. JOYCE BETH MARSTON M.A.,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
1	235Z00000X	Speech-Language Pathologist	SP-653	NV

General Provider Information

NPI Number	:	1881005072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOYCE BETH MARSTON M.A.,CCC-SLP

Provider Business Mailing Address
First Line	:	11212 SHADOW NOOK CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-1624
Country	:	US
Telephone Number	:	702-283-3217
Fax Number	:

Provider Business Practice Location Address
First Line	:	11212 SHADOW NOOK CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-1624
Country	:	US
Telephone Number	:	702-283-3217
Fax Number	:

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

Provider Enumeration Date	:	05/11/2014
Last Update Date	:	05/11/2014

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