Provider Demographics
NPI:1316086911
Name:ISBELL, MARIE MARTELL (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:MARIE
Middle Name:MARTELL
Last Name:ISBELL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3576 POWERS RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38128-3746
Mailing Address - Country:US
Mailing Address - Phone:901-372-2258
Mailing Address - Fax:901-745-7468
Practice Address - Street 1:11437 MILTON WILSON RD.
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38002
Practice Address - Country:US
Practice Address - Phone:901-745-7633
Practice Address - Fax:901-745-7468
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000753235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist