Scott, Marissa D
Scott, Marissa D is an sole proprietor health care provider with primary practice located at 9732 Porcupine Path , Tomahawk WI 54487-9366. 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. Scott, Marissa D can be contacted via phone (715) 966-1960.Contact Information
Primary practice address
9732 Porcupine Path
Tomahawk WI 54487-9366
Phone: (715) 966-1960
Fax: (715) 453-7384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2957 | Wisconsin |
Profile Details
| NPI number | 1699947473 |
|---|---|
| LBN Legal business name | Scott, Marissa D |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2008 |
| Last updated | Jan 23rd, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699947473 | NPPES |
| Wisconsin | MEDICAID | 42588100 |
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