Doctor Name: | MRS. LAURA LEIGH LARSEN-STEVOVICH |
NPI Number: | 1548573686 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 4775 |
Business Practice Address: | 221 Boston Post Rd. East Suite 150 Thom Early Intervention Marlboro, MA - 01752 |
Business Phone Number: | 5086240304 |
Business Fax Number: | 5086240391 |
Mailing Address: | 221 Boston Post Rd. East, Thom Early Intervention MARLBORO |
State: | MA |
Postal Code: | 01752 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/19/2010 |
NPI Last Update Date: | 07/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4775 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |