MARISSA CLARK (NPI# 1033633037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033633037 |
Entity Type | Individual |
Full Name | MARISSA CLARK |
Credential | MS, CGC |
Practice Address |
2827 Fort Missoula Rd. Suite 317 Missoula MT 59804 |
Mailing Address |
4804 Hoblitt Ln S Florence MT 59833-6832 |
Practice Telephone | 4063273924 |
Practice Fax Number | 4063273923 |
Enumeration Date | 2017-08-01 |
Last Update Date | 2017-08-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194387431 | Marissa Clark | Physician Assistant | 112 Mansfield Ave, Willimantic, CT 06226-2040 | 2019-07-08 |
1326271644 | Marissa Everly Clark | Physical Therapist | 3115 W 6th St Ste B, Lawrence, KS 66049-3150 | 2009-09-02 |
Street Address |
2827 FORT MISSOULA RD. SUITE 317 |
City | MISSOULA |
State | MT |
Zip Code | 59804 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
1710286596 | Home Health of Montana Private Services LLC | Clinic/Center | 29 Fort Missoula Road, Missoula, MT 59804 | 2011-03-20 |
Find all providers in zip 59804 |
Taxonomy Code | 170300000X |
Grouping | Other Service Providers |
Classification | Genetic Counselor, MS |
A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598828162 | Stephen G Lohning | Genetic Counselor, MS | 126 E Broadway St Ste 11, Missoula, MT 59802-4511 | 2006-12-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538504261 | Tessa R Pitman | Genetic Counselor, MS | 1 Tideway Dr, Whitefish, MT 59937-3236 | 2013-05-08 |
1841556164 | Karen Ep Stears | Genetic Counselor, MS | 1315 Golden Valley Circle, Billings, MT 59102 | 2012-04-11 |
1205111499 | Theresa Ann Boomer | Genetic Counselor, MS | 4 Pine Ridge Cir, Clancy, MT 59634-9760 | 2011-10-19 |
1760407993 | Sara Anne Adams | Genetic Counselor, MS | 17017 Hwy 93, Arlee, MT 59821 | 2006-07-12 |
1619966595 | Elizabeth Rose Smith | Genetic Counselor, MS | 400 13th Ave S, Suite 103, Great Falls, MT 59405-4300 | 2005-10-13 |
1851866552 | Tiana Pallister | Genetic Counselor, MS | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2018-10-09 |
1194118232 | Jaclyn Anne Haven | Genetic Counselor, MS | 2755 Colonial Dr, Helena, MT 59601-4926 | 2015-03-13 |
1013280940 | Christina Marie Hawbaker | Genetic Counselor, MS | 2755 Colonial Dr, Helena, MT 59601-4926 | 2012-02-23 |
1336295872 | Katherine Berry | Genetic Counselor, MS | 2755 Colonial Dr, Helena, MT 59601-4926 | 2007-01-26 |
1023163250 | Cynthia Marie Hudson | Genetic Counselor, MS | 2755 Colonial Dr, Helena, MT 59601-4926 | 2007-01-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.