Ms Rachael Maja Larson, is a
Speech-language Pathologist based in Lemon Grove, California. Ms Rachael Maja Larson is licensed to practice in California (license number RPE 5080) and her current practice location is
2211 Massachusetts Ave, Lemon Grove, California. She can be reached at her office (for appointments etc.) via phone at
(619) 698-0903.
NPI number for Ms Rachael Maja Larson is 1801229646 and her current mailing address is 4788 Panorama Dr, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801229646.
Healthcare Provider's Profile
| Full Name | Ms Rachael Maja Larson |
|---|
| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 2211 Massachusetts Ave, Lemon Grove, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801229646
- Provider Enumeration Date: 08/15/2013
- Last Update Date: 08/15/2013
Medical Identifiers
Medical identifiers for Ms Rachael Maja Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801229646 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | RPE 5080 (California) | 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. Ms Rachael Maja 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 |
|---|
Ms Rachael Maja Larson,
4788 Panorama Dr,
San Diego, CA 92116-1239
Ph: (503) 302-6036 | Ms Rachael Maja Larson,
2211 Massachusetts Ave,
Lemon Grove, CA 91945-3616
Ph: (619) 698-0903 |
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