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

Individual provider Speech-Language Pathologist · NPI 1629512116

MS. Marissa Anne Broman, CCCSLP is a Speech-Language Pathologist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
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Practice location Address checks out

4004 4th Ave
Brooklyn, NY 11232-3402
Phone: (718) 840-1962
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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 · Licence 022884 (NY)

Record details

NPI number1629512116
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCCSLP
Sole proprietorYes
NPI enumeratedDecember 19, 2016
Last updated in NPPESDecember 19, 2016

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