Bodnar, Marissa

Bodnar, Marissa is an individual health care provider with primary practice located at 201 Booth St , Elkton MD 21921-5618. 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. Bodnar, Marissa can be contacted via phone (410) 996-5450.

Contact Information

Primary practice address
201 Booth St Elkton MD 21921-5618
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 08837 Maryland

Profile Details

NPI number 1497223010
LBN Legal business name Bodnar, Marissa
Credentials MS CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2018
Last updated Jan 26th, 2023 - about 3 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 1497223010 NPPES
Maryland MEDICAID 1497223010

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