Provider Demographics
NPI:1326613563
Name:NEMITZ, MARISSA MAE (MA, CF-SLP)
Entity Type:Individual
Prefix:
First Name:MARISSA
Middle Name:MAE
Last Name:NEMITZ
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 MERTZ RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NY
Mailing Address - Zip Code:14507-9649
Mailing Address - Country:US
Mailing Address - Phone:585-613-2493
Mailing Address - Fax:
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-8439
Practice Address - Fax:585-276-2717
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist