Antrilli, Marissa Ann

Antrilli, Marissa Ann is an sole proprietor health care provider with primary practice located at 191 S East St , Frederick MD 21701-5918. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Antrilli, Marissa Ann can be contacted via phone (301) 644-5000.

Contact Information

Primary practice address
191 S East St Frederick MD 21701-5918
Phone: (301) 644-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 09424 Maryland

Profile Details

NPI number 1649883646
LBN Legal business name Antrilli, Marissa Ann
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2020
Last updated Aug 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649883646 NPPES
Maryland MEDICAID 5416281P0002

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