Provider Demographics
NPI:1134006547
Name:SCHUT, MARRISA JEAN (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:MARRISA
Middle Name:JEAN
Last Name:SCHUT
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7366 PINE RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:OSCODA
Mailing Address - State:MI
Mailing Address - Zip Code:48750-9696
Mailing Address - Country:US
Mailing Address - Phone:989-254-3413
Mailing Address - Fax:
Practice Address - Street 1:1055 FOREST HILL AVE SE APT 150
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-8377
Practice Address - Country:US
Practice Address - Phone:616-942-1990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7152001227235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist