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Marissa Lynn Humphrey, CCC-SLP

NPI 1801405022ActiveIndividual· Speech-Language Pathologist· Davison, MI

Speech-Language Pathologist (CCC-SLP) in Davison, Michigan, trained at Central Michigan College of Medicine (class of 2018). Enrolled in Medicare as practitioner - qualified speech language pathologist.

Overview

NPI1801405022
StatusActive
Entity typeIndividual
CredentialCCC-SLP
Sole proprietorNo
NPI issuedJul 23, 2020
Last updated in NPPESNov 12, 2025
Certified by providerNov 12, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X7101006194MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Qualified Speech Language Pathologist (MI)

Medicare sources and data years

Education and affiliations

Medical schoolCentral Michigan College of Medicine
Graduation year2018
Medicare specialtyQualified Speech Language Pathologist

Medical group

Source: CMS Care Compare

Other Speech-Language Pathologist providers in Davison

All Speech-Language Pathologist providers in Michigan →