Organization
D. JAYNE LARSON ET AL PTR
Active
Other names
The Live Oak Center for Communication Disorders
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH JAYNE LARSON M.S.,CCC-SLP (CLINICAL DIRECTOR)
(512) 453-6778
Entity
Organization
Contact information
Practice address
3724 JEFFERSON ST, SUITE 316, AUSTIN, TX 78731-6222
(512) 453-6778
(512) 453-6995
Mailing address
3724 JEFFERSON ST, SUITE 316, AUSTIN, TX 78731-6222
(512) 453-6778
(512) 453-6995
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
08/18/2008
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