Individual provider · Type 1 NPI

Larissa Clair Bush

Speech-Language Pathologist · Woodbury, MN

NPI number 1528907151 Active

Practice location

2080 Wooddale Dr
Woodbury, MN 55125-2924

Mailing address

55 Livingston Ave Apt 320
St. Paul, MN 55107-5700

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

Speech-Language Pathologist: 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, resonan…

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About NPI 1528907151

Larissa Clair Bush's National Provider Identifier is 1528907151, issued on Mar 27, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Woodbury, MN. The record was last updated on Mar 27, 2026.