Individual
AMY M. LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
723 MEMORIAL ST, PROSSER, WA 99350-1524
(509) 786-2222
Mailing address
98303 E BROOKLYN DR, KENNEWICK, WA 99338-7425
(509) 628-2471
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004377
WA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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