Marissa Rose Ford

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

34591 Issued in CA

Practice address

917 Susan Lee LN
Modesto, CA 95350-0931

Phone

(209) 204-2987

NPI assigned

Jun 3, 2026

Last updated

Jun 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cue Speech & Language Therapy

  • Speech-Language Pathologist
  • Modesto, CA
  • NPI 1245165638
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1164355905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 SUSAN LEE LN",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500931",
            "telephone_number": "209-204-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 SUSAN LEE LN",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500931",
            "telephone_number": "209-204-2987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 E Vine St",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "CA",
            "postal_code": "952403148",
            "country_code": "US",
            "telephone_number": "209-204-2987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "MARISSA",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "34591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Athony Forakis, D.C.
• Candace Ford
• Daniel J. Ford, SUDCC
• Geena Ford
• Jerold R Ford, DC
• Alexis Foreman
• Andre Levon Foreman
• Robert Alan Forester, M.D.
• Kristina Forino, RADT
• Rabia Formoli, MD

• Speech-Language Pathologist in Modesto, CA
• Providers in Modesto, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.