Individual
MARISSA RACHEL PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
237 AVENUE E, BAYONNE, NJ 07002-3714
(201) 455-3144
Mailing address
315 11TH ST APT 2, HOBOKEN, NJ 07030-3233
(201) 956-8883
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01014900
NJ
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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