Brock, Marilea S
Brock, Marilea S is an individual health care provider with primary practice located at 3305 Main St Ste 200 , Vancouver WA 98663-2250. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brock, Marilea S can be contacted via phone (360) 798-8653.Contact Information
Primary practice address
3305 Main St Ste 200
Vancouver WA 98663-2250
Phone: (360) 798-8653
Fax: (360) 326-2277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | LL00004266 | Washington |
Profile Details
| NPI number | 1801962840 |
|---|---|
| LBN Legal business name | Brock, Marilea S |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Oct 15th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801962840 | NPPES |
| Washington | Other | 12096728 | ASHA NUMBER |
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