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

MS. Marissa Ivy Boruchow, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1407108830

MS. Marissa Ivy Boruchow, MS, CCC-SLP is a Speech-Language Pathologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

311 E 50th St Apt 10E
New York, NY 10022-7941
Phone: (516) 376-1041
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 022171 (NY)

Record details

NPI number1407108830
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedOctober 9, 2012
Last updated in NPPESOctober 9, 2012

Other providers in New York