# LARISSA PEIZER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558889329
- **Gender:** F
- **Credential:** M.Z., CCC-SLP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 16096 | OR | Yes |

## Other

- **Enumeration date:** 08/31/2017
- **Last updated:** 08/31/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 14131465 | AMERICAN SPEECH AND HEARING ASSOCIATION | — |
| 01 | — | 16096 | BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY | OR |