Shelly, Marissa Marie

Shelly, Marissa Marie is an sole proprietor health care provider with primary practice located at 815 Sycamore Road , Mohnton PA 19540. 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. Shelly, Marissa Marie can be contacted via phone (570) 573-0065.

Contact Information

Primary practice address
815 Sycamore Road Mohnton PA 19540
Phone: (570) 573-0065
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SL009752 Pennsylvania

Profile Details

NPI number 1346569233
LBN Legal business name Shelly, Marissa Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2010
Last updated May 6th, 2014 - about 12 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.

Request for update

Popular Providers