| Doctor Name: | MRS. MARISSA ROBIN SIEGEL |
| NPI Number: | 1396007639 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC-SLP |
| License Number: | 60540089 |
| Business Practice Address: | 9300 Nw 21st Ave Vancouver, WA - 986656619 |
| Business Phone Number: | 3603132250 |
| Business Fax Number: | |
| Mailing Address: | 17210 Se Woodward Ct, PORTLAND |
| State: | OR |
| Postal Code: | 972361591 |
| Phone Number: | 7036255382 |
| Fax Number: | |
| NPI Enumeration Date: | 06/12/2012 |
| NPI Last Update Date: | 12/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 60540089 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| 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 |