Peterson, Marissa
Peterson, Marissa is an sole proprietor health care provider with primary practice located at 545 Lincoln Dr , Idaho Falls ID 83401-4118. 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. Peterson, Marissa can be contacted via phone (208) 757-8553.Contact Information
Primary practice address
545 Lincoln Dr
Idaho Falls ID 83401-4118
Phone: (208) 757-8553
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP-1685 | Idaho |
Profile Details
| NPI number | 1669633590 |
|---|---|
| LBN Legal business name | Peterson, Marissa |
| Credentials | MA/CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2008 |
| Last updated | Jul 12th, 2009 - about 17 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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