Mead, Marisa

Mead, Marisa is an sole proprietor health care provider with primary practice located at 9650 Zelzah Ave , Northridge CA 91325-2003. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation, Blind, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mead, Marisa can be contacted via phone (818) 993-9311.

Contact Information

Primary practice address
9650 Zelzah Ave Northridge CA 91325-2003
Phone: (818) 993-9311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation, Blind 2255R0406X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 105378 California

Profile Details

NPI number 1639646383
LBN Legal business name Mead, Marisa
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2018
Last updated Nov 25th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639646383 NPPES
California Other F4524858 DEPARTMENT OF MOTOR VEHICLES

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