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

Individual provider Speech-Language Pathologist · NPI 1720431588

Marissa Ann Douglas, M is a Speech-Language Pathologist in Palm Harbor, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

31840 US Highway 19 N
Palm Harbor, FL 34684-3713
Phone: (727) 202-9200
Fax: (727) 350-9665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 W Broadway St Ste 214, Oviedo, FL 32765-9262 — (407) 359-5693

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA15486 (FL)
Speech-Language Pathologist Taxonomy 235Z00000X
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SZ7557 (FL)

Record details

NPI number1720431588
Entity typeIndividual (Type 1)
GenderFemale
Credentials M
Sole proprietorYes
NPI enumeratedJuly 18, 2016
Last updated in NPPESJuly 27, 2020
Certification dateJuly 27, 2020

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