Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609301407 Individual Practitioner Female Practitioner

Lisa Larson

Speech-Language Pathologist • New Providence, NJ

Professional Overview & Biography Verified Profile Summary

Lisa Larson is a registered healthcare professional specializing in Speech-Language Pathologist in New Providence, NJ. Practice services are available at 535 MOUNTAIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

535 Mountain Ave

New Providence, NJ 079742002

Telephone 9082955608

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in New Providence, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
9 Specialists

Practicing in New Providence, NJ (4944 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NJ 41YS00882400

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Hayley Kamis

Speech-Language Pathologist

NPI 1164892576
Nancy Forrester , PT

Physical Therapist - Geriatrics

NPI 1306355763

Physical Therapist

Michael Vos , OT

Occupational Therapist - Physical Rehabilitation

NPI 1427756808

Occupational Therapist

Jennifer Maguire

Physical Therapist

NPI 1538849633
NPI 1548591340

Doctor of Medicine (M.D.)

Haley Gasson

Occupational Therapist

NPI 1639037971

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active June 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2017

Registered at 535 MOUNTAIN AVE, NEW PROVIDENCE, NJ 079742002 (Tel: 9082955608)

📍
Updated Business Mailing Address June 14, 2017

Registered at 47 WHITNEY DR, BERKELEY HEIGHTS, NJ 079222515

👤
Provider Name / Credentials Updated June 14, 2017

Recorded as LISA LARSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2017

Speech-Language Pathologist (License #41YS00882400 in NJ)

NPI Profile Active April 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 29, 2017

Registered at 801 MAMARONECK AVE, APT 301, WHITE PLAINS, NY 106053500 (Tel: 9082955608)

📍
Updated Business Mailing Address April 29, 2017

Registered at 801 MAMARONECK AVE, APT 301, WHITE PLAINS, NY 106053500

👤
Provider Name / Credentials Updated April 29, 2017

Recorded as LISA LARSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2017

Speech-Language Pathologist (License #41YS00882400 in NJ)

🟢
Initial NPI Registration & Enumeration April 29, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609301407
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2017
Last Update: June 14, 2017
Sole Proprietor: No

Mailing Address

47 Whitney Dr

Berkeley Heights, NJ 079222515

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.