Individual ProviderMarcia Lee KoenigSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2621 Ridgepoint Dr, Suite 140, Austin, TX 78754-5232(512) 744-6025PECOS EnrollmentBased on the most recent information from CMS, provider Marcia Lee Koenig does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1427377928Provider TypeIndividualFull NameKoenig, Marcia LeeCredentialSLPGenderFemaleSole ProprietorYesEnumeration Date5/24/2010Last Updated5/24/2010Contact InformationPractice LocationPractice Address2621 Ridgepoint Dr, Suite 140, Austin, TX 78754-5232Phone(512) 744-6025Fax(512) 334-2325Mailing LocationMailing Address6705 W Hwy 290, Suite C-1, Austin, TX 78735-8400Phone(512) 744-6025Fax(512) 334-2325Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense10226TexasProvider IdentifiersIDDescriptionIssuerID10226DescriptionOtherIssuerSPEECH LANGUAGE PATHOLOGISTTexas