Larson, Kristen Anne
Larson, Kristen Anne is an sole proprietor health care provider with primary practice located at 3929 N Farwell Ave , Shorewood WI 53211-2412. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Larson, Kristen Anne can be contacted via phone (708) 819-1885.Contact Information
Primary practice address
3929 N Farwell Ave
Shorewood WI 53211-2412
Phone: (708) 819-1885
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3293-154 | Wisconsin |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3293154 | Wisconsin |
Profile Details
| NPI number | 1770810756 |
|---|---|
| LBN Legal business name | Larson, Kristen Anne |
| Credentials | MS/CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 11th, 2009 |
| Last updated | May 27th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770810756 | NPPES |
| Wisconsin | MEDICAID | 1770810756 |
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