DR. LISA KIMBERLY LARGO-MARSH (NPI# 1023003340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023003340 |
| Entity Type | Individual |
| Full Name | DR. LISA KIMBERLY LARGO-MARSH |
| Credential | PH.D. |
| Practice Address |
8799 Gull Road Suite 1 Richland MI 49083 |
| Mailing Address |
8799 Gull Rd Suite 1 Richland MI 49083-9100 |
| Practice Telephone | 2696292207 |
| Practice Fax Number | 2697312324 |
| Mailing Telephone | 2696292207 |
| Mailing Fax Number | 2696292207 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2010-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301008181 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | VALUE OPTIONS | 1148122 | 01 |
| MI | BCBS OF MICHIGAN | 680C960810 | 01 |
| MI | VALUE OPTIONS | 114812 | 01 |
| MI | BEECH STREET CORPORATION | 21170586108 | 01 |
| Street Address |
8799 GULL ROAD SUITE 1 |
| City | RICHLAND |
| State | MI |
| Zip Code | 49083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548638919 | Amy Louise Mauro | Specialist/Technologist | 515 S Gull Lake Dr, Richland, MI 49083 | 2015-09-02 |
| 1295085181 | Select Orthopedic Supply | Prosthetic/Orthotic Supplier | 8589 Gull Rd, Ste 2, Richland, MI 49083 | 2012-09-18 |
| 1093016743 | Cheryl Diahnn Austenfeld | Counselor | 2323 Gull Road, Richland, MI 49083 | 2010-11-11 |
| 1790920619 | Comprehensive Psychological and Assessment Services, LLC | Counselor | 10359 M-89, Suite A, Richland, MI 49083 | 2008-12-05 |
| 1518132695 | Richland Chiropractic, PC | Chiropractor | 9800 M 89, Suite 9801, Richland, MI 49083 | 2008-04-29 |
| 1235266586 | Kathryn Joy Zimont | Pharmacist | 8900 Gull Road, Richland, MI 49083 | 2007-02-27 |
| 1073553327 | Richland Podiatry PC | Podiatrist | 8992 E D Ave, Richland, MI 49083 | 2006-06-07 |
| 1790747665 | Gregory P Mindock | Physician Assistant | 8906 M 89, Richland, MI 49083 | 2006-04-05 |
| 1053739060 | Breanna Cleasby | Chiropractor | 9801 M 89, Richland, MI 49083 | 2014-04-07 |
| 1316230865 | Ashley Elizabeth Diehl | Pediatrics | 8906 M 89, Richland, MI 49083 | 2011-05-17 |
| Find all providers in zip 49083 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760872568 | Richland Psychology, Pllc | Psychologist | 9037 E D Ave, Richland, MI 49083-9454 | 2015-01-31 |
| 1841310984 | Philip Gordon Barnard | Psychologist | 92 Lee Blvd, Richland, WA 99352-4223 | 2007-03-30 |
| 1891814349 | Mary Susan Vann | Psychologist | 660 Jadwin Ave Ste E, Richland, WA 99352-4241 | 2007-03-28 |
| 1689753667 | Naughne La Vonne Boyd | Psychologist | 2401 Alexander Ave, Richland, WA 99354-1649 | 2006-11-02 |
| 1629002944 | Shaanti Anne Lawrence | Psychologist | 303 Bradley Blvd, Suite 100, Richland, WA 99352-4497 | 2006-07-10 |
| 1164855433 | Kristy Fujiura | Psychologist | 6701 Alongside Ln, Richland, MI 49083-8633 | 2013-08-09 |
| 1093044901 | Janice Marie Kusch | Psychologist | 825 Jadwin Ave, Suite 250, Richland, WA 99352-3589 | 2009-12-24 |
| 1174765507 | Sirri June Hanson | Psychologist | 750 George Washington Way, Suite 5, Richland, WA 99352-4247 | 2009-03-31 |
| 1114193588 | Lynn Murray Orr | Psychologist | 1901 George Washington Way, Suite A, Richland, WA 99354-2307 | 2008-05-05 |
| 1972787539 | Psychological Consultants, Inc. | Psychologist | 2401 Alexander Ave, Richland, WA 99354-1649 | 2007-12-19 |
| Find all providers in RICHLAND | ||||
Please comment or provide details below to improve the information on DR. LISA KIMBERLY LARGO-MARSH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.