Active NPIIndividual provider

Marylen Agbang, MS, CCC-SLP

Speech-Language Pathologist, in Buzzards Bay, Massachusetts

NPI Number1407563133
Practice location
146 Macarthur Blvd, Buzzards Bay, MA 02532-3902
Fax
—
Last updated
May 5, 2023

Marylen Agbang is a Speech-Language Pathologist, based in Buzzards Bay, MA. Marylen Agbang practices in Buzzards Bay, MA and has the professional credentials of MS, CCC-SLP. The NPI Number for Marylen Agbang is 1407563133 and holds a License No. 22008037A (IN). The current practice location address for Marylen Agbang is 146 Macarthur Blvd, Buzzards Bay, MA 02532-3902 and can be reached out via phone at 508-759-8880.

Provider Profile Details

NPI Number
1407563133
Provider Name
Marylen Agbang
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
146 Macarthur Blvd, Buzzards Bay, MA 02532-3902
Phone Number
508-759-8880
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
November 2, 2022
Last Update Date
May 5, 2023
Certification Date
May 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
146 Macarthur Blvd
Buzzards Bay, MA 02532-3902
Zip
02532-3902
Phone Number
508-759-8880
Buzzards Bay, MA 02532Get directions →

Provider Business Mailing Address Details

Address
2614 Tahiti Isle Ave
North Las Vegas, NV 89031-0998
City
North Las Vegas
State
NV
Zip
89031-0998

License Information

License Number (1)
22008037A
License State (1)
IN
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
1129-SLP
License State (2)
SD
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X
License Number (3)
LL61400870
License State (3)
WA
Taxonomy (3)
Speech-Language Pathologist, · 235Z00000X
License Number (4)
78579
License State (4)
MA
Taxonomy (4)
Speech-Language Pathologist, · 235Z00000X · Primary
License Number (5)
SP-1992
License State (5)
NV
Taxonomy (5)
Speech-Language Pathologist, · 235Z00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marylen Agbang, MS, CCC-SLP?

The NPI number of Marylen Agbang, MS, CCC-SLP is 1407563133. It was assigned on November 2, 2022 and is currently active in the NPPES registry.

What is the specialty of Marylen Agbang, MS, CCC-SLP?

Marylen Agbang, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in IN under license number 22008037A.

Where does Marylen Agbang, MS, CCC-SLP practice?

The practice location is 146 Macarthur Blvd, Buzzards Bay, MA 02532-3902. The office can be reached at 508-759-8880 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407563133 directly on the NPPES registry website.

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