Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Larissa Clair Bush

Individual provider Speech-Language Pathologist · NPI 1528907151

Larissa Clair Bush is a Qualified Speech Language Pathologist in Woodbury, Minnesota. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations.

Years since qualifying
1
In the registry since
2026
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Practice location Address checks out

2080 Wooddale Dr
Woodbury, MN 55125-2924
Phone: (612) 201-2468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4900 Highway 169 N Ste 100, New Hope, MN 55428-4044 — (612) 877-8800

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1528907151
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 27, 2026
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address55 Livingston Ave Apt 320, Saint Paul, MN 55107-5700

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Woodbury