Individual
MEGAN K LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.U.D
Contact information
Practice address
628 CALIFORNIA BLVD STE D1, SAN LUIS OBISPO, CA 93401-2559
(805) 242-4487
(805) 242-4487
Mailing address
628 CALIFORNIA BLVD STE D1, SAN LUIS OBISPO, CA 93401-2559
(805) 242-4487
(805) 242-4487
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU3166
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU3166
STATE OF CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS,SPEECH-LANGUAGE PATHOLOGY &
CA
Enumeration date
09/26/2016
Last updated
02/23/2021
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