Active NPIIndividual provider

Lisa Larson

Speech-Language Pathologist, in New Providence, New Jersey

NPI Number1609301407
Practice location
535 Mountain Ave, New Providence, NJ 07974-2002
Fax
—
Last updated
June 14, 2017

Lisa Larson is a Speech-Language Pathologist, based in New Providence, NJ. Lisa Larson practices in New Providence, NJ. The NPI Number for Lisa Larson is 1609301407 and holds a License No. 41YS00882400 (NJ). The current practice location address for Lisa Larson is 535 Mountain Ave, New Providence, NJ 07974-2002 and can be reached out via phone at 908-295-5608.

Provider Profile Details

NPI Number
1609301407
Provider Name
Lisa Larson
Provider Entity Type
Individual
Gender
Female
Address
535 Mountain Ave, New Providence, NJ 07974-2002
Phone Number
908-295-5608
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
April 29, 2017
Last Update Date
June 14, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
535 Mountain Ave
New Providence, NJ 07974-2002
Zip
07974-2002
Phone Number
908-295-5608
New Providence, NJ 07974Get directions →

Provider Business Mailing Address Details

Address
47 Whitney Dr
Berkeley Heights, NJ 07922-2515
City
Berkeley Heights
State
NJ
Zip
07922-2515

License Information

License Number
41YS00882400
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa Larson?

The NPI number of Lisa Larson is 1609301407. It was assigned on April 29, 2017 and is currently active in the NPPES registry.

What is the specialty of Lisa Larson?

Lisa Larson is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00882400.

Where does Lisa Larson practice?

The practice location is 535 Mountain Ave, New Providence, NJ 07974-2002. The office can be reached at 908-295-5608 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609301407 directly on the NPPES registry website.

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