Cheryl Larson, M.A., CCC-SLP
Speech-Language Pathologist, in Glen Ellen, CA. Individual provider (NPI-1).
NPI number1184037814
StatusActive
Last updated in NPPESJun 10, 2014
Details
- NPI
- 1184037814
- Entity type
- Individual (NPI-1)
- Name
- Cheryl Larson
- Credential
- M.A., CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2014
- Last updated
- Jun 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 10017 | CA | Yes |
Practice location
10754 Hwy 12Glen Ellen, CA 95442-9784
Phone 707-235-3752
Mailing address
Po Box 244Kenwood, CA 95452-0244
Phone 707-235-3752
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