Melissa Ann Larson, M.S. SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12617 Issued in CA

Practice address

147 E Olive Ave
Monrovia, CA 91016-3407

Phone

(626) 355-1729

NPI assigned

Jul 16, 2018

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

Credentials

Master of Science

Practice roles

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

• Justine Sherman & Assoc Inc

  • Speech-Language Pathologist
  • Monrovia, CA
  • NPI 1083809651
  NPD (past)
• Justine Sherman and Associates

  • Hearing and Speech Clinic/Center
  • Monrovia, CA
  • NPI 1699163220

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1639655319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W GLENOAKS BLVD APT C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022871",
            "telephone_number": "626-222-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 E OLIVE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163407",
            "telephone_number": "626-355-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "M.S. SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "12617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Larsen
• Alyssa Larson
• Dawn Larson
• Elise Larson
• Erika Larson
• Katrina Lasher
• Nelly Lashgari
• Glenn Lasker
• Lori Lasker
• Isis Laskey

• Speech-Language Pathologist in Monrovia, CA
• Providers in Monrovia, 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 Jul 16, 2018; 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.