MRS. MARISSA BRIANNA GARVICH (NPI# 1184962706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184962706 |
| Entity Type | Individual |
| Full Name | MRS. MARISSA BRIANNA GARVICH |
| Other Name | MISS MARISSA BRIANNA COFFERS |
| Credential | M.A. CCC-SLP |
| Practice Address |
1309 Oak Ave Suite 210 Waconia MN 55387-1078 |
| Practice Telephone | 9522232506 |
| Practice Fax Number | 9524432038 |
| Mailing Telephone | 9522232506 |
| Mailing Fax Number | 9524432038 |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2014-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 9394 | MN | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | SZ6115 | FL | Speech, Language and Hearing Service Providers |
| Street Address |
1309 OAK AVE SUITE 210 |
| City | WACONIA |
| State | MN |
| Zip Code | 55387-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891268405 | Brad Hauer | Chiropractor | 1309 Oak Ave, Ste 207, Waconia, MN 55387-1080 | 2019-01-07 |
| 1437542107 | Camila Swanson | Occupational Therapy Assistant | 1309 Oak Ave, Suite 205, Waconia, MN 55387-1078 | 2015-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626256 | Katelyn Neufeld | Midwife | Western Obgyn 560 S Maple St, Suite 130, Waconia, MN 55387 | 2020-07-14 |
| 1871074674 | Ashley Bea Johnson | Registered Nurse | 1866 Sandbar Cir, Waconia, MN 55387 | 2018-08-28 |
| 1740642529 | Ryan Christenson | Chiropractor | 32 E Main St., Waconia, MN 55387 | 2016-03-22 |
| 1942638481 | Katie Elizabeth Leuning-pavek | Marriage & Family Therapist | 1657 Interlaken Ct, Waconia, MN 55387 | 2013-10-18 |
| 1083964837 | Auburn Meadows, LLC | Assisted Living Facility | 591 S. Cherry Dr, Waconia, MN 55387 | 2012-09-19 |
| 1114238821 | Jalissa Joy Kruckman | Dentist | 576 Cherry Dr, Waconia, MN 55387 | 2010-06-28 |
| 1194990143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 121 Depot Dr, Waconia, MN 55387 | 2008-04-29 |
| 1417156662 | Heather Anne Noel Tuttle | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2007-07-17 |
| 1366507436 | Waconia School District | Local Education Agency (LEA) | 512 Industrial Blvd, Waconia, MN 55387 | 2006-12-27 |
| 1295898872 | Haven Chemical Health Systems | Counselor | 233 1st St W, Waconia, MN 55387 | 2006-12-18 |
| Find all providers in zip 55387 | ||||
| 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 |
|---|---|---|---|---|
| 1497105217 | Brittney Marie Dammann | Speech-Language Pathologist | 1309 Oak Ave Ste 205, Waconia, MN 55387-1080 | 2016-06-14 |
| 1235597097 | Martha Tegels | Speech-Language Pathologist | 1647 Seashell Ln, Waconia, MN 55387-1054 | 2016-02-08 |
| 1073147641 | Eden Schwahn | Speech-Language Pathologist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2020-02-23 |
| 1669005849 | Brittney J Perlich | Speech-Language Pathologist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2020-02-17 |
| 1366075459 | Darcy Mclinden Holter | Speech-Language Pathologist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2020-02-17 |
| 1912555723 | Sara Fox | Speech-Language Pathologist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2019-08-27 |
| 1639724966 | Erika Ann Hall | Speech-Language Pathologist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2019-08-05 |
| 1043863269 | Cassidy Lee Ross | Speech-Language Pathologist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2019-07-17 |
| 1669036083 | Dana Danielle Duncan | Speech-Language Pathologist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2019-05-01 |
| 1740747286 | Jessica Vankeulen | Speech-Language Pathologist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2019-02-20 |
| Find all providers in WACONIA | ||||
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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.