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

Marisa Irizarry

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679984074

Marisa Irizarry is a Student in an Organized Health Care Education/Training Program in Dallas, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

301 Lake St
Dallas, PA 18612-7752
Phone: (570) 675-2131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SL012549 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679984074
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 19, 2014
Last updated in NPPESJune 21, 2016
Mailing address301 Lake St, Po Box 370, Dallas, PA 18612-7752

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