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NPI Code Detail

MEDICARE: MARISA PEREZ

MEDICARE: MARISA PEREZ
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 Pathologist

General Provider Information

NPI Number : 1295523421
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISA PEREZ
Provider Business Mailing Address
First Line : 1707 VILLAGE CENTER CIR STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-0597
Country : US
Telephone Number : 702-899-5810
Fax Number : 702-899-5855
Provider Business Practice Location Address
First Line : 1707 VILLAGE CENTER CIR STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-0597
Country : US
Telephone Number : 702-899-5810
Fax Number : 702-899-5855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2025
Last Update Date : 07/17/2025

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Directions to “ MARISA PEREZ ” 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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