Pennace, Marissa

Pennace, Marissa is an individual health care provider with primary practice located at 321 Fortune Blvd , Milford MA 01757-1750. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Pennace, Marissa can be contacted via phone (508) 478-0207.

Contact Information

Primary practice address
321 Fortune Blvd Milford MA 01757-1750
Phone: (508) 478-0207
Fax: (508) 634-6984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1699020701
LBN Legal business name Pennace, Marissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2012
Last updated Feb 5th, 2015 - about 9 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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