Doctor Name: | MRS. MARISSA M. SCHMIDT-POWELL |
NPI Number: | 1649399718 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 11603 |
Business Practice Address: | 2262 Banyonwood Ave Nw Salem, OR - 973041341 |
Business Phone Number: | 5035081600 |
Business Fax Number: | 5033040856 |
Mailing Address: | Po Box 5763, SALEM |
State: | OR |
Postal Code: | 973040763 |
Phone Number: | 5035081600 |
Fax Number: | 5033040856 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 11603 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |