Marissa Winburn

Speech-Language Pathologist · Freeport, FL

Individual Active NPI

NPI number 1376924159

Practice location

636 Meadow Lake Dr
Freeport, FL 32439-2359
Phone
(850) 499-6052

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NPI record

NPI
1376924159
Entity type
Individual (Type 1)
Enumeration date
June 17, 2015
Last updated
January 22, 2021
Certified
January 22, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X SA14578 FL
Developmental Therapist 222Q00000X — —
Speech-Language Pathologist 235Z00000X SZ7095 FL

Other practice locations (1)

  • 4100 S Ferdon Blvd, Crestview, FL 32536-5252 · (850) 499-6052

About Marissa Winburn

Marissa Winburn is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 636 Meadow Lake Dr, Freeport, FL 32439-2359. The NPI number 1376924159 was assigned on June 17, 2015 and the record was last updated on January 22, 2021.

Marissa Winburn lists 2 licenses in the registry: #SA14578 (FL) for Speech-Language Pathologist; #SZ7095 (FL) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marissa Winburn?

The NPI number is 1376924159.

What is the phone number of Marissa Winburn?

The phone number listed for the practice location is (850) 499-6052.

Where is Marissa Winburn located?

636 Meadow Lake Dr, Freeport, FL 32439-2359.

What is the taxonomy code for Marissa Winburn?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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