Provider Demographics
NPI:1649844564
Name:ARKUS, MARISSA ASHLEY (MS)
Entity type:Individual
Prefix:
First Name:MARISSA
Middle Name:ASHLEY
Last Name:ARKUS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 LIVINGSTON ST
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07648-1843
Mailing Address - Country:US
Mailing Address - Phone:201-527-8341
Mailing Address - Fax:
Practice Address - Street 1:1300 I ST NW STE 400E
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3318
Practice Address - Country:US
Practice Address - Phone:202-579-4448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-15
Last Update Date:2021-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist