MARISSA CACCAVALE (NPI# 1093137101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093137101 |
| Entity Type | Individual |
| Full Name | MARISSA CACCAVALE |
| Practice Address |
8699 Holder St Buena Park CA 90620-3614 |
| Practice Telephone | 7148213620 |
| Mailing Telephone | 7148213620 |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | RPE8612 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
8699 HOLDER ST |
| City | BUENA PARK |
| State | CA |
| Zip Code | 90620-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902116676 | Jerry Ernest Lindquist | Psychologist | 8699 Holder St, Buena Park, CA 90620-3614 | 2010-10-15 |
| 1619521275 | Allison Lauren Kaslowski | Speech-Language Pathologist | 8699 Holder St, Buena Park, CA 90620-3699 | 2019-07-31 |
| 1659855203 | Lynette Gonzalez | Occupational Therapy Assistant | 8699 Holder St, Buena Park, CA 90620-3699 | 2018-09-19 |
| 1275042236 | Sarah Lucas Sanchez | Speech-Language Pathologist | 8699 Holder St, Buena Park, CA 90620-3614 | 2017-09-21 |
| 1447779665 | Ashley Ortiz | Specialist/Technologist | 8699 Holder St, Buena Park, CA 90620-3614 | 2017-09-19 |
| 1548796907 | Candice Rae Courtright | Specialist/Technologist | 8699 Holder St, Buena Park, CA 90620-3614 | 2017-05-04 |
| 1558734129 | Louisa Pumpruck | Specialist/Technologist | 8699 Holder St, Buena Park, CA 90620-3614 | 2015-11-04 |
| 1063885721 | Anna Mercedes Soltis | Specialist/Technologist | 8699 Holder St, Buena Park, CA 90620-3614 | 2015-11-03 |
| 1548698145 | Virginia Prado | Behavioral Analyst | 8699 Holder St, Buena Park, CA 90620-3614 | 2013-10-17 |
| 1174963110 | Karyn Ann Jones | Speech-Language Pathologist | 8699 Holder St, Buena Park, CA 90620-3614 | 2013-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889110 | Soon Ae Yoon | Acupuncturist | 8600 Beach Blvd. #104, Buena Park, CA 90620 | 2019-12-27 |
| 1649755380 | Rosemary Lynn Nielsen | Social Worker | 1850 Knott Ave, Buena Park, CA 90620 | 2018-09-28 |
| 1730608118 | Arpita Bhavsar | Pharmacist | 7072 Santa Marta Circle, Buena Park, CA 90620 | 2017-09-16 |
| 1740715663 | Gabriela Peinado | Assistant Behavior Analyst | 8669 Holder St, Buena Park, CA 90620 | 2017-04-28 |
| 1679958862 | Aum Pharmacy Corporation | Pharmacy | 6970 Aragon Circle, # 3, Buena Park, CA 90620 | 2015-07-29 |
| 1457600330 | Daniel D. Chung Dds Inc | Dentist | 8884 Knott Ave., Buena Park, CA 90620 | 2012-09-06 |
| 1942531447 | Baltazar Mendoza | Dental Assistant | 7691 El Chaco Drive, Buena Park, CA 90620 | 2010-01-22 |
| 1760509947 | Marcela Torralba Espiritu | Dentist | 7540 Orangethorpe Ave, C4, Buena Park, CA 90620 | 2007-03-23 |
| 1508924457 | Randall Tay Kanemaki | Dentist | 8751 Valley View Street, Suite B, Buena Park, CA 90620 | 2006-12-04 |
| 1346338282 | J and P Homes Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6891 San Pedro Circle, Buena Park, CA 90620 | 2006-10-10 |
| Find all providers in zip 90620 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902428956 | Sueyon Kim | Speech-Language Pathologist | 9550 Holder St, Buena Park, CA 90620-4209 | 2020-05-13 |
| 1629613344 | Sarah Dallas Campanella | Speech-Language Pathologist | 5075 Clifton Way, Buena Park, CA 90621-1416 | 2019-11-18 |
| 1366996266 | Yurie Kwon | Speech-Language Pathologist | 6247 San Ricardo Way, Buena Park, CA 90620-2845 | 2016-08-09 |
| 1578949574 | Hannah Baldelli | Speech-Language Pathologist | 5622 Fox Hills Ave, Buena Park, CA 90621-1510 | 2015-08-03 |
| 1093132201 | Christine Kim | Speech-Language Pathologist | 6991 San Julian Cir, Buena Park, CA 90620-2955 | 2014-03-25 |
| 1235579087 | Kristen Marie Delgado | Speech-Language Pathologist | 7587 Granada Dr, Buena Park, CA 90621-1210 | 2013-06-25 |
| 1841638673 | Amanda Marie Pulver | Speech-Language Pathologist | 1 Tidewater Cv, Buena Park, CA 90621-1661 | 2013-06-14 |
| 1619521275 | Allison Lauren Kaslowski | Speech-Language Pathologist | 8699 Holder St, Buena Park, CA 90620-3699 | 2019-07-31 |
| 1790296895 | Jihee Yoo | Speech-Language Pathologist | 6885 Orangethorpe Ave, Buena Park, CA 90620-1348 | 2017-10-16 |
| 1275042236 | Sarah Lucas Sanchez | Speech-Language Pathologist | 8699 Holder St, Buena Park, CA 90620-3614 | 2017-09-21 |
| Find all providers in BUENA PARK | ||||
| City | BUENA PARK |
| Zip Code | 90620 |
Please comment or provide details below to improve the information on MARISSA CACCAVALE.
| 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.