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NPI Code Detail

MEDICARE: MARISSA HOFFMAN M.S., CCC-SLP

MEDICARE: MARISSA HOFFMAN M.S., CCC-SLP
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 Pathologist7703TN

General Provider Information

NPI Number : 1801515069
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA HOFFMAN M.S., CCC-SLP
Provider Business Mailing Address
First Line : 4721 TROUSDALE DR STE 206
Second Line :
City : NASHVILLE
State : TN
Zip : 37220-1372
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1897 GENERAL GEORGE PATTON DR
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-7250
Country : US
Telephone Number : 615-591-3244
Fax Number : 615-591-3454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2022
Last Update Date : 08/23/2022

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