| Marissa Immel, | |
|
2189 Avon Industrial Dr, Rochester Hills, MI 48309-3611 | |
| (248) 726-2286 | |
| Not Available |
| Full Name | Marissa Immel |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 2 Years |
| Location | 2189 Avon Industrial Dr, Rochester Hills, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497503411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (Michigan) | Primary |
| Provider Name | Building Blocks Pediatric Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467011916 PECOS PAC ID: 0941539605 Enrollment ID: O20190906000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Immel, 2189 Avon Industrial Dr, Rochester Hills, MI 48309-3611 Ph: () - | Marissa Immel, 2189 Avon Industrial Dr, Rochester Hills, MI 48309-3611 Ph: (248) 726-2286 |
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