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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARISA RICKERSON

Active Sole Proprietor

MARISA RICKERSON is a Speech, Language and Hearing Specialist healthcare provider located in TAYLOE, Texas. NPI 1902388242 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · TAYLOE, TX

Registration Details

NPI Number
1902388242
Provider Type
Individual
Gender
Female
NPI Issued
Sep 4, 2018 (7.935243351636 yrs)
Last Updated
Sep 4, 2018
License
103418 (TX)
Sole Proprietor
Yes

Practice Information

Address
SPJST
1810 OLD GRANGER RD
TAYLOE, TX, 76574
Browse TX providers · Browse ZIP 76574
Phone
5123526337
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X
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.