Shavonne Mariscal
Shavonne Mariscal is a Qualified Speech Language Pathologist in Palm Bay, Florida. Qualified in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 16
- Licensed in
- FL
- In the registry since
- 2019
Practice location Address checks out
4680 Lipscomb St NE Ste 4Palm Bay, FL 32905-2984
Phone: (321) 209-0171
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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 SA11135 (FL) |
|---|
Record details
| NPI number | 1174161681 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 16, 2019 |
| Last updated in NPPES | July 7, 2022 |
| Certification date | July 7, 2022 |
Medicare enrollment
| Medicare specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2010 (16 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Nia Speech Therapy and Consulting, LLC
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Proclaim Communication and Rehabilitation Services, LLC
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