Provider Demographics
NPI:1528098753
Name:TUROSKY, MARIANNE (MS,CCC/SLP)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:
Last Name:TUROSKY
Suffix:
Gender:F
Credentials:MS,CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 S RIVER ST
Mailing Address - Street 2:C/O ADULT SERVICES UNLIMITED T/A RIVERSIDE REHAB
Mailing Address - City:PLAINS
Mailing Address - State:PA
Mailing Address - Zip Code:18705-1137
Mailing Address - Country:US
Mailing Address - Phone:570-824-3444
Mailing Address - Fax:570-824-4021
Practice Address - Street 1:220 S RIVER ST
Practice Address - Street 2:C/O ADULT SERVICES UNLIMITED T/A RIVERSIDE REHAB
Practice Address - City:PLAINS
Practice Address - State:PA
Practice Address - Zip Code:18705-1137
Practice Address - Country:US
Practice Address - Phone:570-824-3444
Practice Address - Fax:570-824-4021
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL000498L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA820214OtherFIRST PRIORITY PROVIDER #
PA372927OtherBLUE SHIELD GROUP #
PA372927OtherBLUE SHIELD GROUP #
PA820214OtherFIRST PRIORITY PROVIDER #