Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marisa Gross, CCC-LSP

Individual provider Rehabilitation Practitioner · NPI 1104800119

Marisa Gross, CCC-LSP is a Rehabilitation Practitioner in Dickson City, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2005.

Licensed in
PA
In the registry since
2005
Specialties on file
2
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Practice location Address checks out

851 Commerce Blvd Ste 107
Dickson City, PA 18519-1677
Phone: (570) 489-5561
Fax: (570) 489-5563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X · Licence SL005969 L (PA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SL005969 L (PA)

Record details

NPI number1104800119
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-LSP
Sole proprietorNo
NPI enumeratedDecember 2, 2005
Last updated in NPPESJuly 13, 2026

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