Search › Georgia › 235Z00000X
Marissa Lee, CCC-SLP
NPI 1528586013 · on the registry since 2017
Practice
- Address
- 4212 Coral Park Dr
Brunswick, GA 31520 - Phone
- (912) 996-2069
- Fax
- (912) 265-0041
- Organisation at this address
- Pediatric Therapies Of Se Ga, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia