MARISSA HURD BODIKER (NPI# 1194037051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194037051 |
| Entity Type | Individual |
| Full Name | MARISSA HURD BODIKER |
| Credential | MS, CCC-SLP |
| Practice Address |
11140 Highway 55 Suite C Plymouth MN 55441-6016 |
| Practice Telephone | 7635950812 |
| Practice Fax Number | 7635950824 |
| Mailing Telephone | 7635950812 |
| Mailing Fax Number | 7635950824 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 8653 | MN | Speech, Language and Hearing Service Providers |
| Street Address |
11140 HIGHWAY 55 SUITE C |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-6016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437129806 | Kaye M Baumgardner | Speech-Language Pathologist | 11140 Highway 55, Suite C, Plymouth, MN 55441-6016 | 2006-01-26 |
| 1508340480 | Shoshana Rubin | Occupational Therapist | 11140 Highway 55, Plymouth, MN 55441-6016 | 2018-09-18 |
| 1518336551 | Amber L Bickel | Speech-Language Pathologist | 11140 Highway 55, Suite C, Plymouth, MN 55441-6016 | 2015-09-21 |
| 1942598297 | Diane Fester | Physical Therapist | 11140 Highway 55, Suite C, Plymouth, MN 55441-6071 | 2011-07-20 |
| 1891998035 | Minnetonka Pediatric Therapy Center, LLC | Occupational Therapist | 11140 Highway 55, Ste C, Plymouth, MN 55441-6016 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570813 | Cheryl Ann Schall | Speech-Language Pathologist | 401 Sunset St, Plymouth, MI 48170-1010 | 2020-05-20 |
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1770070062 | Marcia Lynne Smith | Speech-Language Pathologist | 10155 Tennyson Dr, Plymouth, MI 48170-3647 | 2018-04-23 |
| 1477080125 | Julianne Trudeau | Speech-Language Pathologist | 130 Industrial Park Rd, Plymouth, MA 02360-7243 | 2017-05-12 |
| 1346786126 | Heather-ann Doherty | Speech-Language Pathologist | 17 Knoll Rd, Plymouth, MA 02360-5264 | 2017-01-17 |
| 1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
| 1912381138 | Alyssa Hencley | Speech-Language Pathologist | 15200 18th Ave N, Apt 12, Plymouth, MN 55447-2418 | 2015-07-17 |
| 1447634969 | Kimberly Grant | Speech-Language Pathologist | 9102 N Lilley Rd, #249, Plymouth, MI 48170-4644 | 2015-07-14 |
| 1588047401 | Sarah Gregory | Speech-Language Pathologist | 762 Blunk St, Plymouth, MI 48170-1164 | 2015-07-09 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.