Marissa Larson

Speech-Language Pathologist · Benicia, CA

Individual Active NPI

NPI number 1720910672

Practice location

540 Rose Dr
Benicia, CA 94510-3761
Phone
(707) 747-8390

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NPI record

NPI
1720910672
Entity type
Individual (Type 1)
Enumeration date
June 2, 2026
Last updated
June 2, 2026
Certified
June 2, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X B9695071 CA

Mailing address

273 W I St
Benicia, CA 94510-3118
Phone
(707) 747-8330

About Marissa Larson

Marissa Larson is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 540 Rose Dr, Benicia, CA 94510-3761. The NPI number 1720910672 was assigned on June 2, 2026 and the record was last updated on June 2, 2026.

Marissa Larson lists a license in the registry: #B9695071 (CA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marissa Larson?

The NPI number is 1720910672.

What is the phone number of Marissa Larson?

The phone number listed for the practice location is (707) 747-8390.

Where is Marissa Larson located?

540 Rose Dr, Benicia, CA 94510-3761.

What is the taxonomy code for Marissa Larson?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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