| Doctor Name: | MARISSA J CHIANG |
| NPI Number: | 1154404374 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., SLP-CF |
| License Number: | 2859-154 |
| Business Practice Address: | 9220 Bass Lake Road Suite 260 New Hope, MN - 554283000 |
| Business Phone Number: | 7635330363 |
| Business Fax Number: | 7635330842 |
| Mailing Address: | 7250 France Avenue, Suite 305 EDINA |
| State: | MN |
| Postal Code: | 554354305 |
| Phone Number: | 9522852840 |
| Fax Number: | 9522852830 |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 05/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2859-154 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |