Provider Demographics
NPI:1962719781
Name:ISRAEL, MARIAN ARNOLD (CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:MARIAN
Middle Name:ARNOLD
Last Name:ISRAEL
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7175 VENETO DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3741
Mailing Address - Country:US
Mailing Address - Phone:561-364-3937
Mailing Address - Fax:561-364-3957
Practice Address - Street 1:7175 VENETO DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3741
Practice Address - Country:US
Practice Address - Phone:561-364-3937
Practice Address - Fax:561-364-3957
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA1883235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist