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MARISSA PETERSON MA/CCC-SLP
NPI 1669633590
Speech-Language Pathologist in Idaho Falls, ID

Active since June 23, 2008
545 LINCOLN DR, IDAHO FALLS, ID 83401(208) 757-8553 Get Directions Write a Review

NPPES record last updated: July 12, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marissa Peterson Ma/ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA PETERSON MA/CCC-SLP (NPI 1669633590) is an individual speech-language pathologist provider in Idaho Falls, Idaho, licensed in Idaho (SLP-1685) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1669633590
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARISSA PETERSONCredential: MA/CCC-SLP
Location Address545 LINCOLN DRIdaho Falls, ID 83401-4118
Mailing AddressPo Box 2943Idaho Falls, ID 83403-2943 · (208) 757-8553 · Fax (208) 524-1929
Phone(208) 757-8553
Sole ProprietorYes
Enumeration DateJune 23, 2008
Last NPPES UpdateJuly 12, 2009
✔ NPI 1669633590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in ID · SLP-1685
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
545 LINCOLN DR, Idaho Falls, ID 83401
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETERSON THERAPY SERVICES, INC
Speech-Language Pathologist
545 LINCOLN DR
IDAHO FALLS, ID 83401
Bonneville County (208) 584-1141
PETERSON SPEECH THERAPY
Speech-Language Pathologist
545 LINCOLN DR
IDAHO FALLS, ID 83401
Bonneville County (208) 757-8553

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Peterson's NPI number?

The NPI number for Marissa Peterson is 1669633590. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Marissa Peterson located?

Marissa Peterson practices at 545 Lincoln Dr, Idaho Falls, ID 83401. The listed phone number is (208) 757-8553.

What is Marissa Peterson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Marissa Peterson was last updated on July 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.