MEDICARE: MARISSA JANETTE HERNANDEZ MS, 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
1	235Z00000X	Speech-Language Pathologist	36006	CA

General Provider Information

NPI Number	:	1841070927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISSA JANETTE HERNANDEZ MS, CCC-SLP

Provider Business Mailing Address
First Line	:	1550 HOTEL CIR N STE 120
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-2912
Country	:	US
Telephone Number	:	619-647-6157
Fax Number	:

Provider Business Practice Location Address
First Line	:	1550 HOTEL CIR N STE 120
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-2912
Country	:	US
Telephone Number	:	619-647-6157
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2023
Last Update Date	:	10/04/2023

Similar Medicare Providers

1376492066 — MARINA BIENENSTOCK M.S., CCC-SLP
Practice Location Address:

1550 HOTEL CIR N STE 120
SAN DIEGO, CA
92108-2912

Practice Phone: 619-647-6157
Practice Fax:

1871997445 — RACHEL ELIZABETH MARSHALL MA, OTD, OTR/L
Practice Location Address:

1550 HOTEL CIR N STE 120
SAN DIEGO, CA
92108-2912

Practice Phone: 619-647-6157
Practice Fax:

1245077130 — PAIGE MCDONALD M.A., CCC-SLP
Practice Location Address:

1550 HOTEL CIR N STE 120
SAN DIEGO, CA
92108-2912

Practice Phone: 619-647-6157
Practice Fax:

1104645100 — DR. RACHAEL TODARO OTD, OTR/L
Practice Location Address:

1550 HOTEL CIR N STE 120
SAN DIEGO, CA
92108-2912

Practice Phone: 619-647-6157
Practice Fax:

1689690927 — DR. AGNES C SANTOSA M.D.
Practice Location Address:

11241 SPENCERPORT WAY
SAN DIEGO, CA
92131-2912

Practice Phone: 858-549-9652
Practice Fax: 858-549-4941

1982859138 — MRS. CRIS LOUISE RASH
Practice Location Address:

8811 GERALDINE AVE
SAN DIEGO, CA
92123-2912

Practice Phone: 858-277-5475
Practice Fax:

Directions to “ MARISSA JANETTE HERNANDEZ MS, CCC-SLP” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.