National Provider Identifier
Marissa Marie Magro, M.S.ED., CCC-SLP
Marissa Marie Magro, M.S.ED., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Olean, NY and a listed phone number of (716) 379-3202.
Profile Overview
- NPI
- 1376109066
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 17, 2019
- Last Updated
- November 29, 2022
Practice Location
- 133 N 21St St
- Olean, NY 14760-1906
Phone: (716) 379-3202
Specialties
- Speech-Language Pathologist (235Z00000X)
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1376109066
- Entity Type
- Individual
- Last Name
- Magro
- First Name
- Marissa
- Middle Name
- Marie
- Credential
- M.S.ED., CCC-SLP
- Mailing Street Address
- 133 N 21St St
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-1906
- Mailing Country
- US
- Mailing Phone
- (716) 307-3249
- Practice Street Address
- 133 N 21St St
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-1906
- Practice Country
- US
- Practice Phone
- (716) 379-3202
- Enumeration Date
- May 17, 2019
- Last Updated
- November 29, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 29, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)