| Marissa Lynn Vankoppen, MS, CCC-SLP | |
|
1 Pike Dr, Wayne, NJ 07470-2443 | |
| (315) 889-1690 | |
| Not Available |
| Full Name | Marissa Lynn Vankoppen |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1 Pike Dr, Wayne, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619638624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 41YS01011300 (New Jersey) | Primary |
| Provider Name | Adaptive Home Therapy, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831192673 PECOS PAC ID: 4284522772 Enrollment ID: O20040308000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Lynn Vankoppen, MS, CCC-SLP 700 Clinton St Apt 2, Hoboken, NJ 07030-2829 Ph: (973) 865-5404 | Marissa Lynn Vankoppen, MS, CCC-SLP 1 Pike Dr, Wayne, NJ 07470-2443 Ph: (315) 889-1690 |
Andrea Elizabeth Badiola, CF-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1501 Hamburg Tpke, Wayne, NJ 07470 Phone: 973-800-8515 | |
Julia Rossetti, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Pike Drive, Wayne, NJ 07470 Phone: 315-889-1690 Fax: 201-644-3731 | |
Brian's T.e.a.m. Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 22 Riverview Dr, C/o Brian's T.e.a.m., Wayne, NJ 07470 Phone: 973-628-0400 Fax: 973-627-1724 | |
Mrs. Leanne Christian, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 48 Lenox Rd, Wayne, NJ 07470 Phone: 973-706-7207 | |
Laura Ann Ksyniak, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 89 Baldwin Ter, Wayne, NJ 07470 Phone: 973-696-3928 | |
Tina Marie Crotty, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1211 Hamburg Tpke, Wayne, NJ 07470 Phone: 973-800-8515 | |
Dr. Jennifer D. Moore, EDD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1211 Hamburg Tpke Ste 224, Wayne, NJ 07470 Phone: 973-800-8515 |