Individual
MRS. ALLISON ANN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. S. CCC-SLP
Contact information
Practice address
2636 S MILFORD RD, HIGHLAND, MI 48357-4938
(248) 684-9610
Mailing address
2636 S MILFORD RD, HIGHLAND, MI 48357-4938
(248) 684-9610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12067650
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23
TAXONOMY
MI
Enumeration date
12/23/2007
Last updated
12/23/2007
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