Individual
ANITA JEAN LARMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MNS, CCC-SLP
Contact information
Practice address
5601 N 16TH ST, PHOENIX, AZ 85016-2903
(602) 664-7173
Mailing address
5601 N 16TH ST, PHOENIX, AZ 85016-2903
(602) 664-7173
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4534
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885353
—
AZ
Enumeration date
10/03/2007
Last updated
10/03/2007
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