Larson, Cherilyn L

Larson, Cherilyn L is an individual health care provider with primary practice located at 13555 W Mcdowell Rd Suite 202, Goodyear AZ 85395. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is her primary health care specialty. Larson, Cherilyn L can be contacted via phone (623) 512-4100.

Contact Information

Primary practice address
13555 W Mcdowell Rd Suite 202 Goodyear AZ 85395
Phone: (623) 512-4100
Fax: (623) 512-4107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 01781 Kansas
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X DA7006 Arizona

Profile Details

NPI number 1548532807
LBN Legal business name Larson, Cherilyn L
Credentials AUD, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2012
Last updated Jul 18th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548532807 NPPES
Arizona Other 86-0783428 TAX ID

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