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Contact Information

MARISSA J LEE, CCC-SLP
4212 CORAL PARK DR
BRUNSWICK, GA31520
 Phone: 912-996-2069
 Fax: 912-265-0041
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MARISSA J LEE · (Female)

NPI Number 1528586013
Status Active
Credentials CCC-SLP (Certificate of Clinical Competance in Speech language pathology)
Entity Individual
Enumeration date 09/05/2017
Last updated 07/12/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # SLP10135
  • GA Other GA00590 CERTIFIED BASIC LIFE SUPPORT :CPR AND AED
  • GA Other SLP10135 SPEECH PATHOLOGIST
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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