Miss. Malissa Ann Larson

Individual provider Exercise & Sports Psychologist · NPI 1982175824

Miss. Malissa Ann Larson is an Exercise & Sports Psychologist in Buffalo, New York. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since: 2018
Specialties on file: 2

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Practice location Address checks out

192 Richmond Ave
Buffalo, NY 14222-2112
Phone: (646) 823-5401

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

Specialties & licences

Doula (primary)	Taxonomy 374J00000X
Exercise & Sports Psychologist	Taxonomy 103TE1100X

Record details

NPI number	1982175824
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	December 17, 2018
Last updated in NPPES	June 11, 2019