Marissa Habeshy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP00008945 Issued in GA

Practice address

4500 Satellite Blvd
Suite 2250
Duluth, GA 30096-5037

Phone

(800) 381-2195

NPI assigned

Aug 28, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Let's Talk Therapy, LLC

  • Speech-Language Pathologist
  • Duluth, GA
  • NPI 1699068957
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1194192856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 BROOK VIEW AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303403870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SATELLITE BLVD",
            "address_2": "SUITE 2250",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965037",
            "telephone_number": "800-381-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABESHY",
        "first_name": "MARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP00008945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwinnett Pulmonary Group Duluth
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• Gwinnett Urgent Eye Care Clinic PC
• Gynecology Specialists of Atlanta
• Clifford David Hackett, PSYD
• Sinan Haddad, M.D.
• Regan Hadley, PT
• Hana M Hagiali
• Hair Clinique Salon

• Speech-Language Pathologist in Duluth, GA
• Providers in Duluth, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.