Meltzer, Marissa Carly

Meltzer, Marissa Carly is an individual health care provider with primary practice located at 645 Tamalpais Dr Ste B , Corte Madera CA 94925-1613. 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. Meltzer, Marissa Carly can be contacted via phone (415) 924-2444.

Contact Information

Primary practice address
645 Tamalpais Dr Ste B Corte Madera CA 94925-1613
Phone: (415) 924-2444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 25549 California

Profile Details

NPI number 1083116412
LBN Legal business name Meltzer, Marissa Carly
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2018
Last updated Mar 17th, 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 1083116412 NPPES
California MEDICAID 94-3314238

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