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

Marissa Rose Ford

Individual provider Speech-Language Pathologist · NPI 1164355905

Marissa Rose Ford is a Speech-Language Pathologist in Modesto, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

917 Susan Lee Ln
Modesto, CA 95350-0931
Phone: (209) 204-2987
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1305 E Vine St, Lodi, CA 95240-3148 — (209) 204-2987

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 34591 (CA)

Record details

NPI number1164355905
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 3, 2026
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address917 Susan Lee Ln, Modesto, CA 95350-0931

Other providers in Modesto