Doctor Name: | LARITA M CONDON |
NPI Number: | 1376746388 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SP4804 |
Business Practice Address: | 253 W Sixth St Minster, OH - 45865 |
Business Phone Number: | 4195012165 |
Business Fax Number: | 4195012166 |
Mailing Address: | 101 S Main St, NEW BREMEN |
State: | OH |
Postal Code: | 458691423 |
Phone Number: | 4196292791 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2007 |
NPI Last Update Date: | 05/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP4804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |