Malissa Ann Larson
Doula in Buffalo, NY. Individual provider (NPI-1).
NPI number1982175824
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1982175824
- Entity type
- Individual (NPI-1)
- Name
- Miss Malissa Ann Larson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 17, 2018
- Last updated
- Jun 11, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374J00000X | Doula | – | – | Yes |
| 103TE1100X | Psychologist, Exercise & Sports | – | – |
Practice location
192 Richmond AveBuffalo, NY 14222-2112
Phone 646-823-5401
Mailing address
192 Richmond AveBuffalo, NY 14222-2112
Phone 646-823-5401
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 133 Doula providers in Buffalo · All 14,700 providers in Buffalo
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