Marissa Nunnery, M.A. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · San Antonio, TX
NPI 1346885993 · NPPES record last updated Jan 26, 2023
Key facts
- NPI
- 1346885993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 117977 (TX)
- Practice address
- 14163 Blind Bandit CRK
San Antonio, TX 78254-4692 - Phone
- (915) 873-1221
- NPI assigned
- Nov 7, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117977 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 117977 | TX | Yes |
Addresses
Primary practice location
14163 Blind Bandit CRK
San Antonio, TX 78254-4692
Mailing address
14163 Blind Bandit CRK
San Antonio, TX 78254-4692
Phone (915) 873-1221
Other providers in San Antonio, TX
- Yvonne Nunez
- Heather E Nunley
- Janee Nunley
- Daisy Nunn
- Madison Nunn
- Scarlet Nunns
- Nunny'S Home Care, LLC
- Gabriela Nuno
- Jennifer Nuno
- Katia Nuno
All providers in San Antonio, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.