MARISHA BOURGEOIS (NPI# 1790234912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790234912 |
| Entity Type | Individual |
| Full Name | MARISHA BOURGEOIS |
| Credential | M.S.,M.A. |
| Practice Address |
9109 Mendenhall Mall Rd Suite 5k Juneau AK 99801-7136 |
| Mailing Address |
1125 B St Juneau AK 99801-1533 |
| Practice Telephone | 5049522178 |
| Mailing Telephone | 5049522178 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 473 | AK | Speech, Language and Hearing Service Providers |
| Street Address |
9109 MENDENHALL MALL RD SUITE 5K |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-7136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263387 | Alaska Infusion Therapy, Inc. | Pharmacy | 9109 Mendenhall Mall Rd, Ste 7a, Juneau, AK 99801-7142 | 2005-05-24 |
| 1043456411 | Linda L. Newman | Occupational Therapist | 9109 Mendenhall Mall Rd, Suite 5k, Juneau, AK 99801-7113 | 2009-01-06 |
| 1720255946 | Denali Mesa Corporation | Physical Therapist | 9109 Mendenhall Mall Rd, Ste 5k, Juneau, AK 99801-7113 | 2008-05-15 |
| 1245455625 | Hope Community Resources Inc | Case Management | 9109 Mendenhall Mall Rd, Ste 5d, Juneau, AK 99801-7113 | 2007-04-13 |
| 1518083849 | Monica Monty | Physical Therapist | 9109 Mendenhall Mall Rd, Suite 5k, Juneau, AK 99801-7113 | 2007-03-21 |
| 1932233970 | Alaska Solutions Inc | Respite Care | 9109 Mendenhall Mall Rd, Suite 4a, Juneau, AK 99801-7113 | 2007-03-14 |
| 1912037185 | Hope Community Resources Inc | Case Management | 9109 Mendenhall Mall Rd, Ste 5d, Juneau, AK 99801-7113 | 2007-03-06 |
| 1316082167 | Glacier View Tlc Pharmacy | Durable Medical Equipment & Medical Supplies | 9109 Mendenhall Mall Rd, Suite 7-a, Juneau, AK 99801-7113 | 2007-02-20 |
| 1851448153 | Heidi S. Johnson | Speech-Language Pathologist | 9109 Mendenhall Mall Rd, Suite 2, Juneau, AK 99801-7113 | 2007-01-05 |
| 1215049010 | Dialysis Services of Southeast Alaska, LLC | Clinic/Center | 9109 Mendenhall Mall Rd, Suite 6, Juneau, AK 99801 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| 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 |
|---|---|---|---|---|
| 1629426713 | Aaron Waxenfelter | Speech-Language Pathologist | 17325 Point Lena Loop Rd, Juneau, AK 99801-8310 | 2016-05-30 |
| 1841661428 | Sara Cook | Speech-Language Pathologist | 198 County Df, Juneau, WI 53039-9515 | 2015-10-08 |
| 1356741409 | Aubrie Morrell | Speech-Language Pathologist | 198 Home Rd, Juneau, WI 53039-1402 | 2014-08-26 |
| 1669871299 | Alicia Frank | Speech-Language Pathologist | 198 County Df # Df, Juneau, WI 53039-9515 | 2014-08-20 |
| 1326321589 | Rachel Lynn Sanders | Speech-Language Pathologist | 9547 N Douglas Hwy, Juneau, AK 99801-7610 | 2011-09-23 |
| 1750523130 | Chelsea Wilburn | Speech-Language Pathologist | 9801 Nine Mile Creek Road, Juneau, AK 99801 | 2009-03-31 |
| 1942467600 | Vince John Wagner | Speech-Language Pathologist | 104 Troy Ave, Juneau, AK 99801-1453 | 2008-05-20 |
| 1700915402 | Judith Hayden | Speech-Language Pathologist | 17001 Towers Rd, Juneau, AK 99801-8311 | 2007-03-06 |
| 1003943606 | Belinda K. Burns | Speech-Language Pathologist | 9049 Ninnis Dr, Juneau, AK 99801 | 2007-02-28 |
| 1255490033 | Julia A Peters | Speech-Language Pathologist | 546 Hemlock St, Juneau, AK 99801-1435 | 2006-12-07 |
| Find all providers in JUNEAU | ||||
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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.