Marylen Agbang, M.S., CCC-SLP
NPI 1407563133ActiveIndividual· Speech-Language Pathologist· Buzzards Bay, MA
Speech-Language Pathologist (M.S., CCC-SLP) in Buzzards Bay, Massachusetts, licensed in MA, IN, SD and WA and other states, with an NPI issued in November 2022.
Overview
| NPI | 1407563133 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., CCC-SLP |
| Sole proprietor | No |
| NPI issued | Nov 2, 2022 |
| Last updated in NPPES | May 5, 2023 |
| Certified by provider | May 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 78579 | MA |
| Speech-Language Pathologist | 235Z00000X | 22008037A | IN |
| Speech-Language Pathologist | 235Z00000X | 1129-SLP | SD |
| Speech-Language Pathologist | 235Z00000X | LL61400870 | WA |
| Speech-Language Pathologist | 235Z00000X | SP-1992 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Speech-Language Pathologist providers in Buzzards Bay
- 1912265588
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- 1417627183
All Speech-Language Pathologist providers in Massachusetts →