Individual
MARISSA MARY ISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16622 N 36TH DR, PHOENIX, AZ 85053-2831
(602) 919-5430
Mailing address
16622 N 36TH DR, PHOENIX, AZ 85053-2831
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA17232
AZ
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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