Provider Demographics
NPI:1912332586
Name:ROYALL STEINHELFER, MARISSA LYNN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARISSA
Middle Name:LYNN
Last Name:ROYALL STEINHELFER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:MARISSA
Other - Middle Name:LYNN
Other - Last Name:ROYALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:4100 BROADWAY AVE
Mailing Address - Street 2:APARTMENT 9105
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028
Mailing Address - Country:US
Mailing Address - Phone:903-922-1091
Mailing Address - Fax:
Practice Address - Street 1:800 COLLEGE PARKWAY
Practice Address - Street 2:SUITE 336
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75077
Practice Address - Country:US
Practice Address - Phone:972-420-8543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104785235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist