Lee, Marissa Joy

Lee, Marissa Joy is an individual health care provider with primary practice located at 4212 Coral Park Dr , Brunswick GA 31520. 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. Lee, Marissa Joy can be contacted via phone (912) 996-2069.

Contact Information

Primary practice address
4212 Coral Park Dr Brunswick GA 31520
Phone: (912) 996-2069
Fax: (912) 265-0041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP10135 Georgia

Profile Details

NPI number 1528586013
LBN Legal business name Lee, Marissa Joy
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2017
Last updated Jul 12th, 2018 - about 8 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 1528586013 NPPES
Georgia Other GA00590 CERTIFIED BASIC LIFE SUPPORT :CPR AND AED
Georgia Other SLP10135 CERTIFIED BASIC LIFE SUPPORT :CPR AND AED

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