Individual
MRS. LARISSA BETH BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
2846 SANDALWOOD DR, NEW ALBANY, IN 47150-9464
(502) 939-3021
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005301A
IN
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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