Gross, Marisa
Gross, Marisa is an individual health care provider with primary practice located at 851 Commerce Blvd Suite 107, Dickson City PA 18519-1677. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Gross, Marisa can be contacted via phone (570) 489-5561.Contact Information
Primary practice address
851 Commerce Blvd Suite 107
Dickson City PA 18519-1677
Phone: (570) 489-5561
Fax: (570) 489-5563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | SL005969 L | Pennsylvania |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SL005969 L | Pennsylvania |
Profile Details
| NPI number | 1104800119 |
|---|---|
| LBN Legal business name | Gross, Marisa |
| Credentials | CCC-LSP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104800119 | NPPES |
| Pennsylvania | Other | 819172 | FIRST PRIORITY/BC/BS |
| Pennsylvania | MEDICAID | 0018620480005 | FIRST PRIORITY/BC/BS |
| Pennsylvania | Other | 9222541 | FIRST PRIORITY/BC/BS |
| Pennsylvania | Other | 1353701 | FIRST PRIORITY/BC/BS |
| Pennsylvania | Other | 163624 | FIRST PRIORITY/BC/BS |
| Pennsylvania | Other | 2787821 | FIRST PRIORITY/BC/BS |
| Pennsylvania | Other | 7064341 | FIRST PRIORITY/BC/BS |
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