National Provider Identifier
Marissa Nicholson, TSHH
Marissa Nicholson, TSHH is listed in the NPPES registry with a primary specialty of Speech/Language/Hearing Specialist/Technologist in Walworth, NY and a listed phone number of (315) 986-3521.
Profile Overview
- NPI
- 1063795730
- Provider Type
- Individual
- Primary Specialty
- Speech/Language/Hearing Specialist/Technologist
- Enumeration Date
- September 20, 2011
- Last Updated
- September 20, 2011
Practice Location
- 1500 Dayspring Rdg
- Walworth, NY 14568-9517
Phone: (315) 986-3521
Specialties
- Speech/Language/Hearing Specialist/Technologist (235500000X)
Full Record
- NPI
- 1063795730
- Entity Type
- Individual
- Last Name
- Nicholson
- First Name
- Marissa
- Name Prefix
- MS.
- Credential
- TSHH
- Mailing Street Address
- 1500 Dayspring Rdg
- Mailing City
- Walworth
- Mailing State
- NY
- Mailing ZIP Code
- 14568-9517
- Mailing Country
- US
- Mailing Phone
- (315) 986-3521
- Practice Street Address
- 1500 Dayspring Rdg
- Practice City
- Walworth
- Practice State
- NY
- Practice ZIP Code
- 14568-9517
- Practice Country
- US
- Practice Phone
- (315) 986-3521
- Enumeration Date
- September 20, 2011
- Last Updated
- September 20, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech/Language/Hearing Specialist/Technologist (235500000X)