Individual
DR. CHERILYN L LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A
Contact information
Practice address
13555 W MCDOWELL RD, SUITE 202, GOODYEAR, AZ 85395
(623) 512-4100
(623) 512-4107
Mailing address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 355-9703
(806) 468-1861
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
01781
KS
237600000X
Audiologist-Hearing Aid Fitter
Primary
DA7006
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86-0783428
TAX ID
AZ
Enumeration date
02/02/2012
Last updated
07/18/2018
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