National Provider Identifier
Marisa Ausborn Wizeman, M.S.
Marisa Ausborn Wizeman, M.S. is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Bath, NY and a listed phone number of (607) 382-2525.
Profile Overview
- NPI
- 1104105543
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- August 16, 2011
- Last Updated
- November 13, 2025
Practice Location
- 115 Liberty St
- Bath, NY 14810-1508
Phone: (607) 382-2525
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1104105543
- Entity Type
- Individual
- Last Name
- Wizeman
- First Name
- Marisa
- Middle Name
- Ausborn
- Name Prefix
- Miss
- Credential
- M.S.
- Mailing Street Address
- 115 Liberty St
- Mailing City
- Bath
- Mailing State
- NY
- Mailing ZIP Code
- 14810-1508
- Mailing Country
- US
- Mailing Phone
- (607) 382-2525
- Practice Street Address
- 115 Liberty St
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-1508
- Practice Country
- US
- Practice Phone
- (607) 382-2525
- Enumeration Date
- August 16, 2011
- Last Updated
- November 13, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 13, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)