Miss Malissa Ann Larson, is a
Doula based in Buffalo, New York. Miss Malissa Ann Larson is licensed to practice in * (Not Available) (license number ) and her current practice location is
192 Richmond Ave, Buffalo, New York. She can be reached at her office (for appointments etc.) via phone at
(646) 823-5401.
NPI number for Miss Malissa Ann Larson is 1982175824 and her current mailing address is 192 Richmond Ave, Buffalo, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982175824.
Healthcare Provider's Profile
Full Name | Miss Malissa Ann Larson |
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Gender | Female |
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Speciality | Doula |
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Location | 192 Richmond Ave, Buffalo, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982175824
- Provider Enumeration Date: 12/17/2018
- Last Update Date: 06/11/2019
Medical Identifiers
Medical identifiers for Miss Malissa Ann Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982175824 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Secondary |
374J00000X | Doula | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Malissa Ann Larson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Malissa Ann Larson, 192 Richmond Ave, Buffalo, NY 14222-2112 Ph: (646) 823-5401 | Miss Malissa Ann Larson, 192 Richmond Ave, Buffalo, NY 14222-2112 Ph: (646) 823-5401 |
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