Organization
PEDIATRIC ALLIED SPEECH SERVICES
Active
Other names
Marissa Shelly
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA MARIE SHELLY CCC-SLP (DIRECTOR OF THERAPY SERVICES)
(570) 573-0065
Entity
Organization
Contact information
Practice address
815 SYCAMORE RD, MOHNTON, PA 19540-1255
(570) 573-0065
Mailing address
815 SYCAMORE RD, MOHNTON, PA 19540-1255
(570) 573-0065
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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