Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARISSA ROSE FORD
NPI 1164355905
Speech-Language Pathologist in Modesto, CA

Active since June 03, 2026
917 SUSAN LEE LN, MODESTO, CA 95350(209) 204-2987 Get Directions Write a Review

NPPES record added: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marissa Rose Ford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA ROSE FORD (NPI 1164355905) is an individual speech-language pathologist provider in Modesto, California, licensed in California (34591) and active in the NPI registry since June 2026. She maintains a secondary practice location in Lodi.

NPPES Registry Identity

NPI1164355905
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARISSA ROSE FORD
Location Address917 SUSAN LEE LNModesto, CA 95350-0931
Mailing Address917 Susan Lee LnModesto, CA 95350-0931 · (209) 204-2987
Sole ProprietorYes
Enumeration DateJune 3, 2026
NPPES CertifiedJune 3, 2026
NPI 1164355905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in CA · 34591
Definition
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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
917 SUSAN LEE LN, Modesto, CA 95350

Secondary Practice Location 1

Location 11305 E Vine StLodi, CA 95240-3148 · Phone (209) 204-2987

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
917 SUSAN LEE LN
MODESTO, CA 95350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Ford's NPI number?

The NPI number for Marissa Ford is 1164355905. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Where is Marissa Ford located?

Marissa Ford practices at 917 Susan Lee Ln, Modesto, CA 95350. The listed phone number is (209) 204-2987.

What is Marissa Ford's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Marissa Ford was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.