MEDICARE: NORA ELIZABETH MARSHALL MS, CF-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

General Provider Information

NPI Number	:	1881427714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORA ELIZABETH MARSHALL MS, CF-SLP

Provider Business Mailing Address
First Line	:	115 NOTTINGHAM PL
Second Line	:
City	:	BRISTOL
State	:	TN
Zip	:	37620-4134
Country	:	US
Telephone Number	:	232-485-6724
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 MEADOW VIEW RD
Second Line	:
City	:	BRISTOL
State	:	TN
Zip	:	37620-1661
Country	:	US
Telephone Number	:	423-797-4555
Fax Number	:

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

Provider Enumeration Date	:	08/26/2024
Last Update Date	:	08/26/2024

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