Doctor Name: | MS. MARISSA WEYER MITCHEL |
NPI Number: | 1225467566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SL009822 |
Business Practice Address: | 120 Hamm Dr Suite 2a Lewisburg, PA - 178377496 |
Business Phone Number: | 5705229420 |
Business Fax Number: | 5705229431 |
Mailing Address: | 120 Hamm Dr, Suite 2a LEWISBURG |
State: | PA |
Postal Code: | 178377496 |
Phone Number: | 5705229420 |
Fax Number: | 5705229431 |
NPI Enumeration Date: | 11/07/2013 |
NPI Last Update Date: | 11/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL009822 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |