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NPI Code Detail

MEDICARE: MARISSA SUE RIORDAN

MEDICARE: MARISSA SUE RIORDAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistIN

General Provider Information

NPI Number : 1215860267
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA SUE RIORDAN
Provider Business Mailing Address
First Line : 7209 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2021
Country : US
Telephone Number : 317-288-7606
Fax Number :
Provider Business Practice Location Address
First Line : 7209 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2021
Country : US
Telephone Number : 317-288-7606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ MARISSA SUE RIORDAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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