Individual
MARISSA J CHIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2927 S FISH HATCHERY RD, FITCHBURG, WI 53711-6498
(608) 819-6394
Mailing address
2927 S FISH HATCHERY RD, FITCHBURG, WI 53711-6498
(608) 819-6394
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2859-154
WI
235Z00000X
Speech-Language Pathologist
8287
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42580000
—
WI
Enumeration date
10/23/2006
Last updated
02/25/2020
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