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

Individual provider Speech-Language Pathologist · NPI 1689365876

Marissa Colasuonno is a Speech-Language Pathologist in Port Jefferson Station, New York. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

299 Hallock Ave
Port Jefferson Station, NY 11776-1217
Phone: (631) 473-4284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1689365876
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 17, 2023
Last updated in NPPESMay 17, 2023
Certification dateApril 26, 2023

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