Individual
MARISSA LYNN VAN KOPPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP, CBIS
Contact information
Practice address
2145 WHITESVILLE RD, TOMS RIVER, NJ 08755-1175
(973) 865-5404
Mailing address
220 WEBSTER AVE # 1, SEASIDE HEIGHTS, NJ 08751-2334
(973) 865-5404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01011300
NJ
Other
Enumeration date
01/03/2022
Last updated
11/12/2024
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