MARISSA CLARK


Address: 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804
Phone: 4063273924

MARISSA CLARK (NPI# 1033633037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170300000X Genetic Counselor, MS Other Service Providers

Other Providers MARISSA CLARK

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

Office Location

Street Address 2827 FORT MISSOULA RD.
SUITE 317
City MISSOULA
State MT
Zip Code 59804

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 170300000X
Grouping Other Service Providers
Classification Genetic Counselor, MS

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City MISSOULA
Zip Code 59804

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Dataset Information

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.

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