Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISSA PETERSON, MA/CCC-SLP
Active Sole ProprietorMARISSA PETERSON, MA/CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in IDAHO FALLS, Idaho. NPI 1669633590 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1669633590
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2008 (18.102664971455 yrs)
- Last Updated
- Jul 12, 2009
- License
-
SLP-1685 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
545 LINCOLN DRIDAHO FALLS, ID, 834014118Browse ID providers · Browse ZIP 83401
- Phone
- 2087578553
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. DEBRA A NILSSON | M.S., CCC-SLP | 1316977044 |
| JONI L. HOOPES | MS CCC-SLP | 1285652461 |
| MICHELLE DAHLBERG | CCC-SLP | 1255353488 |
| VICKI NORTON HULET | MS-CCCSLP | 1255440939 |
| MRS. SHERI LISA ELKINGTON | — | 1770691834 |
| MRS. KIMBERLY DAWN STOWELL | M.S., CCC-SLP | 1811007784 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.