Individual
LARISSA PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 PINETOWN RD STE 260, FORT WASHINGTON, PA 19034-2614
(445) 236-0134
Mailing address
5688 NASH DR, PIPERSVILLE, PA 18947-1111
(607) 368-4747
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL019243
PA
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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