Provider Demographics
NPI:1982040218
Name:SCOTT, MARISSA APRIL (MA, MT-BC, CLD)
Entity Type:Individual
Prefix:MS
First Name:MARISSA
Middle Name:APRIL
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MA, MT-BC, CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 CENTRAL AVE STE U
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3434
Mailing Address - Country:US
Mailing Address - Phone:603-978-4808
Mailing Address - Fax:
Practice Address - Street 1:750 CENTRAL AVE
Practice Address - Street 2:UNIT 1
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820
Practice Address - Country:US
Practice Address - Phone:603-978-4808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-14
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
No374J00000XNursing Service Related ProvidersDoula