Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marlene Rerucha

Individual provider Speech-Language Pathologist · NPI 1003106907

Marlene Rerucha is a Qualified Speech Language Pathologist in Maumee, Ohio. Qualified in 2004, 22 years ago. Practices with Aegis Group Practice LLC, a 406-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
22
Licensed in
OH
In the registry since
2011
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Practice location Address checks out

1560 Henthorne Dr
Maumee, OH 43537-1371
Phone: (419) 866-5275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP8352 (OH)

Record details

NPI number1003106907
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 12, 2011
Last updated in NPPESApril 12, 2011
Mailing address1560 Henthorne Dr, Maumee, OH 43537-1371

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Aegis Group Practice Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Maumee