IndividualActive
Marisa Gross, CCC-LSP
NPI 1104800119 · Rehabilitation Practitioner · Dickson City, PA
Provider details
- NPI number
- 1104800119
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CCC-LSP
- Sex
- Female
- License
- SL005969 L (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Speech, Language and Hearing Service Providers
Practice location
851 Commerce Blvd
Suite 107
Dickson City, PA 18519-1677
Phone: (570) 489-5561
Fax: (570) 489-5563
Approximate (ZIP-level) locationGet directions
Mailing address
851 Commerce Blvd
Dickson City, PA 18519-1677
Registry dates
- Enumerated
- 2005-12-02
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.