MARISA IRIZARRY (NPI# 1679984074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679984074 |
| Entity Type | Individual |
| Full Name | MARISA IRIZARRY |
| Practice Address |
301 Lake St Dallas PA 18612-7752 |
| Mailing Address |
301 Lake St Po Box 370 Dallas PA 18612-7752 |
| Practice Telephone | 5706752131 |
| Mailing Telephone | 5706752131 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2016-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SL012549 | PA | Speech, Language and Hearing Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
301 LAKE ST |
| City | DALLAS |
| State | PA |
| Zip Code | 18612-7752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649264672 | Mercy Center Nursing Unit | Skilled Nursing Facility | 301 Lake St, Dallas, PA 18612-7752 | 2005-09-06 |
| 1164085254 | Kristina Mary Ruby | Physical Therapist | 301 Lake St, Dallas, PA 18612-7752 | 2019-04-15 |
| 1366911620 | Misericordia University | Nurse Practitioner | 301 Lake St, Dallas, PA 18612-7752 | 2018-11-16 |
| 1972052181 | Erin Roberts | Speech-Language Pathologist | 301 Lake St, Dallas, PA 18612-7752 | 2016-09-28 |
| 1326413923 | Kylie Ann Cox | Speech-Language Pathologist | 301 Lake St, Mercy Center, Dallas, PA 18612-7752 | 2015-12-08 |
| 1205207784 | Natalie Lynn Fox | Occupational Therapy Assistant | 301 Lake St, Dallas, PA 18612-7752 | 2015-10-09 |
| 1306229802 | Kimberly Anne Hartman | Speech-Language Pathologist | 301 Lake St, Dallas, PA 18612-7752 | 2015-07-01 |
| 1083025936 | Genesis Eldercare Rehabilitation Services, Inc | Clinic/Center | 301 Lake St, Dallas, PA 18612-7752 | 2014-05-14 |
| 1912201880 | Heather Siskovich | Physical Therapist | 301 Lake St, Mercy Center, Dallas, PA 18612-1008 | 2011-01-06 |
| 1013221498 | Misericordia University Speech-language and Hearing Center | Early Intervention Provider Agency | 301 Lake St, Dallas, PA 18612-1008 | 2010-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487009882 | Jacqueline Patricia O'brien | Occupational Therapist | 345 Lake Louise Rd, Dallas, PA 18612 | 2016-05-04 |
| 1164772927 | Katie M Ferguson | Pharmacist | 26 Dallas Shopping Center Memorial Highway, Dallas, PA 18612 | 2012-09-19 |
| 1619235892 | Crista Zern | Physical Therapist | 4 East Center Hill Road, Dallas, PA 18612 | 2012-04-25 |
| 1336423631 | Angela Mary Evans | Nurse Practitioner | 301 Lake Street, Misericordia University's Health & Wellness Center, Dallas, PA 18612 | 2011-10-05 |
| 1376835868 | Peter Frederick Casterline | Surgery | 5 Old Well Lane, Dallas, PA 18612 | 2011-05-03 |
| 1336386051 | Judy A Williams | Speech-Language Pathologist | 368 Tioga Avenue, Kingston, PA 18612 | 2009-01-16 |
| 1013195015 | Joseph John Kowalski | Psychiatry & Neurology | 2 Birch Hill Lane, Dallas, PA 18612 | 2008-02-01 |
| 1063621233 | Back Mountain Pediatrics | Clinical Medical Laboratory | 550 Memorial Highway, Dallas, PA 18612 | 2007-05-22 |
| 1760699177 | Leonard M Evans | Internal Medicine | 1806 Country Club Apartments, Dallas, PA 18612 | 2007-05-16 |
| 1417170549 | Clem-mar House, Inc. | Substance Abuse Rehabilitation Facility | 2860 State Route 309, Dallas, PA 18612 | 2007-04-10 |
| Find all providers in zip 18612 | ||||
| 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 |
|---|---|---|---|---|
| 1215534086 | Anne Cuthbert Patten | Speech-Language Pathologist | 3532 Routh St, Dallas, TX 75219-4730 | 2020-10-05 |
| 1669079406 | Kamryn Kelley Miller | Speech-Language Pathologist | 10617 Estate Ln, Dallas, TX 75238-2214 | 2020-10-05 |
| 1417565532 | Charlene Samone Martin | Speech-Language Pathologist | 103 Due West Pass, Dallas, GA 30157-2545 | 2020-07-15 |
| 1710505698 | Madeline Michele Howell | Speech-Language Pathologist | 2535 Lone Star Drvie, Dallas, TX 75212 | 2020-07-08 |
| 1073131108 | Julia Brooke Kenney | Speech-Language Pathologist | 3223 Lemmon Ave Apt 5102, Dallas, TX 75204-1877 | 2020-07-06 |
| 1053935924 | Sarah Guigneaux | Speech-Language Pathologist | 6024 Gentle Knoll Ln, Dallas, TX 75248-2123 | 2020-06-05 |
| 1316560402 | Shane Mary Thomas | Speech-Language Pathologist | 17060 Dallas Pkwy Ste 105, Dallas, TX 75248-1905 | 2020-05-22 |
| 1841812518 | Alden Caroline Bauman | Speech-Language Pathologist | 8390 Lyndon B Johnson Fwy Ste 100, Dallas, TX 75243-1215 | 2020-05-15 |
| 1043832835 | Kacy Nicole Chapman | Speech-Language Pathologist | 8390 Lyndon B Johnson Fwy, Dallas, TX 75243-1188 | 2020-05-14 |
| 1437788643 | Lourdes Georgina Salinas | Speech-Language Pathologist | 2473 N Field St Apt 3014, Dallas, TX 75201-8208 | 2020-04-08 |
| Find all providers in DALLAS | ||||
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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.