Individual
CHRISTIE TAYLOR LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CF SLP
Contact information
Practice address
16815 S DESERT FOOTHILLS PKWY, PHOENIX, AZ 85048-8401
(480) 704-5954
Mailing address
1651 E VERLEA DR, TEMPE, AZ 85282-2639
(408) 768-3854
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP11388
AZ
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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