Individual
HEATHER LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
24 WOLF CREEK DR, GYPSUM, CO 81637-5100
(970) 331-3468
Mailing address
PO BOX 1251, GYPSUM, CO 81637-1251
(970) 331-3468
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
02/03/2022
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