Individual
SASHA NICOLE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1565 VIRGINIA RANCH RD, GARDNERVILLE, NV 89410-5704
(775) 782-3100
Mailing address
1272 SANTA FE CT, MINDEN, NV 89423-8899
(650) 799-8791
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1995
NV
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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