Individual
DIANA MARIE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8505 E VALLEY VIEW RD, SCOTTSDALE, AZ 85250-6768
(480) 484-5077
Mailing address
8505 E VALLEY VIEW RD, SCOTTSDALE, AZ 85250-6768
(480) 484-5077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL0521
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
625618
—
AZ
Enumeration date
02/14/2007
Last updated
07/09/2007
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