Larry Elbert Bobbitt
Speech-Language Pathologist, in Wake Forest, NC. Individual provider (NPI-1).
NPI number1104774082
StatusActive
Last updated in NPPESMar 18, 2026
Details
- NPI
- 1104774082
- Entity type
- Individual (NPI-1)
- Name
- Larry Elbert Bobbitt
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 18, 2026
- Certification date
- Mar 17, 2026
- Last updated
- Mar 18, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 30003887 | NC | Yes |
Practice location
3517 Coach Lantern AveWake Forest, NC 27587-4866
Phone 919-948-8951
Mailing address
3517 Coach Lantern AveWake Forest, NC 27587-4866
Phone 919-948-8905
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All 97 Speech-Language Pathologist providers in Wake Forest · All 1,588 providers in Wake Forest
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