Individual
MARISSA HENNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS-SLPA
Contact information
Practice address
10631 S 51ST ST, SUTIE 8, PHOENIX, AZ 85044-5225
(480) 398-4280
Mailing address
3131 N 70TH ST APT 2002, SCOTTSDALE, AZ 85251-6385
(951) 285-8091
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10281
AZ
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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