LARISSA NIESSEN

FULLERTON, CA
NPI1780299180
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  23092)
Enumeration Date2020-09-11
Last Update Date2020-09-11
Business Address
LARISSA NIESSEN MS CCC-SLP/L
1401 W VALENCIA DR
FULLERTON, CA 92833-3998
Phone number: 714-447-7745
Mailing Address
LARISSA NIESSEN MS CCC-SLP/L
509 S BREA BLVD UNIT 16
BREA, CA 92821-6810
Phone number: 805-705-5088
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