Provider Demographics
NPI:1093015562
Name:RASPANTINI, MARIAN JULIA (SLP)
Entity type:Individual
Prefix:MRS
First Name:MARIAN
Middle Name:JULIA
Last Name:RASPANTINI
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 QUAKER PATH
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-3129
Mailing Address - Country:US
Mailing Address - Phone:631-812-3168
Mailing Address - Fax:
Practice Address - Street 1:12 QUAKER PATH
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3129
Practice Address - Country:US
Practice Address - Phone:631-812-3168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7629-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist