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

Marissa Danielle Cannella

Individual provider Speech-Language Pathologist · NPI 1073246542

Marissa Danielle Cannella is a Qualified Speech Language Pathologist in Babylon, New York. Qualified in 2022, 4 years ago. Registered with an NPI since 2022.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

400 Montauk Hwy Ste 152
Babylon, NY 11702-3009
Phone: (631) 669-7098
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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 number1073246542
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2022
Last updated in NPPESAugust 18, 2022
Certification dateJuly 29, 2022
Mailing address7 Tree Ln, Wantagh, NY 11793-1907

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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