Hernandez, Marissa
Hernandez, Marissa is an individual health care provider with primary practice located at 1500 E 128Th Ave , Thornton CO 80241-2601. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Hernandez, Marissa can be contacted via phone (720) 972-4000.Contact Information
Primary practice address
1500 E 128Th Ave
Thornton CO 80241-2601
Phone: (720) 972-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1558461640 |
|---|---|
| LBN Legal business name | Hernandez, Marissa |
| Credentials | MA CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Oct 11th, 2023 - about 2 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 | 1558461640 | NPPES |
| Colorado | MEDICAID | 26055732 |
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