Shannon Larsen in Medford - Speech-language Pathologist
Shannon Larsen - NPI 1245490044
Shannon Larsen is a Speech-language Pathologist in Medford, Oregon. Shannon Larsen practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Shannon Larsen is 1245490044. The last update date is 2008-06-15.
Shannon Larsen's current location address is 625 Stevens St, Medford, Oregon. You can contact this provider via phone number 5418641872. The mailing address for Shannon Larsen is 625 Stevens St, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Larsen |
|---|---|
| Address | 625 Stevens St, Medford, Oregon |
| Phone Number | 5418641872 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1245490044 |
|---|---|
| Provider Enumeration Date | 2008-06-15 |
| Last Updated Date | 2008-06-15 |
Provider Mailing Address Detail
| Address | 625 Stevens St |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 975046719 |
| Phone Number | 5418641872 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 12409 |
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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. Spe |
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What is the unique 10-digit identifier code issued to Shannon Larsen by the Centers for Medicare & Medicaid Services?
The Shannon Larsen has been assigned the NPI (National Provider Identifier) 1245490044 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Shannon Larsen?
The Shannon Larsen is situated at 625 Stevens St, in the city of Medford, state of OR, with the zip code 975046719.
What is Shannon Larsen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shannon Larsen is Speech-language Pathologist, and the taxonomy code that categorizes this field of expertise is 235Z00000X.
When did the Shannon Larsen receive its 1245490044?
The Shannon Larsen was issued its 1245490044 on 2008-06-15, which is the date when the organization was assigned this unique identifier.
When was the information regarding Shannon Larsen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shannon Larsen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-15.