Individual provider · Type 1 NPI

Jamie Mariscal

Speech-Language Pathologist · Santa Rosa, CA

NPI number 1730091158 Active

Practice location

110 Stony Point Rd Ste 210
Santa Rosa, CA 95401-4118

Call (707) 890-3800 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X21482 (CA)

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, resonan…

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About NPI 1730091158

Jamie Mariscal's National Provider Identifier is 1730091158, issued on Sep 21, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Sep 21, 2026.