Marissa Eve Wiegel, MS CCC-SLP | |
107 Otis St, Northborough, MA 01532-2459 | |
(508) 898-2688 | |
Not Available |
Full Name | Marissa Eve Wiegel |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 107 Otis St, Northborough, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679005029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Great Therapy Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568886471 PECOS PAC ID: 8224421540 Enrollment ID: O20220209002480 |
Mailing Address | Practice Location Address |
---|---|
Marissa Eve Wiegel, MS CCC-SLP 665 Boston Post Rd, Sudbury, MA 01776-3306 Ph: (978) 460-1357 | Marissa Eve Wiegel, MS CCC-SLP 107 Otis St, Northborough, MA 01532-2459 Ph: (508) 898-2688 |
Mrs. Janice Doherty Rybicki, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 107 Otis St, Northborough, MA 01532 Phone: 508-898-2688 | |
Mrs. Emily Noland, M.S, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 107 Otis St, Northborough, MA 01532 Phone: 508-898-2688 | |
Emily Hubbard, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 107 Otis St, Northborough, MA 01532 Phone: 508-898-2688 | |
Jennifer Ray, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 107 Otis St, Northborough, MA 01532 Phone: 508-898-2688 Fax: 508-319-3200 | |
Emily Lynn Bowman, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 107 Otis St, Northborough, MA 01532 Phone: 508-898-2688 | |
Stephanie Bejtlich, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 107 Otis St, Northborough, MA 01532 Phone: 508-898-2688 Fax: 508-319-3200 | |
Mrs. Cathy Carew, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 107 Otis St, Northborough, MA 01532 Phone: 508-898-2688 Fax: 508-319-3200 |