Larsson, Jennifer Theresa

Larsson, Jennifer Theresa is an individual health care provider with primary practice located at 13910 Fivay Rd Suite 6, Hudson FL 34667. 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. Larsson, Jennifer Theresa can be contacted via phone (727) 869-9479.

Contact Information

Primary practice address
13910 Fivay Rd Suite 6 Hudson FL 34667
Phone: (727) 869-9479
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SZ6432 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA13294 Florida

Profile Details

NPI number 1861813123
LBN Legal business name Larsson, Jennifer Theresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2014
Last updated Feb 1st, 2023 - about 2 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 1861813123 NPPES
Florida MEDICAID 116523800
Florida Other X9DTG

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