Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN LARSON
ActiveSpeech, Language and Hearing Specialist · BAYPORT, MN
Registration Details
- NPI Number
- 1578934741
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 14, 2015 (10.558338546971 yrs)
- Last Updated
- Apr 21, 2017
- License
-
8579 (MN)
Practice Information
- Address
-
1022 PIONEER TRLBAYPORT, MN, 550031608Browse MN providers · Browse ZIP 55003
- Phone
- 6512495705
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.