Provider Demographics
NPI:1295991818
Name:MARABLE, INA SPELLS (MS)
Entity type:Individual
Prefix:MS
First Name:INA
Middle Name:SPELLS
Last Name:MARABLE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:INA
Other - Middle Name:RUTH
Other - Last Name:SPELLS-GREENE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BS, MS
Mailing Address - Street 1:111 SHARPS LN
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-5781
Mailing Address - Country:US
Mailing Address - Phone:757-220-6816
Mailing Address - Fax:
Practice Address - Street 1:3505 LAKE LYNDA DR
Practice Address - Street 2:SUITE 207
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-8324
Practice Address - Country:US
Practice Address - Phone:877-896-3660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-03
Last Update Date:2008-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist