Stewart, Larissa

Stewart, Larissa is an sole proprietor health care provider with primary practice located at 210 Anderson St , Lead SD 57754-1402. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Stewart, Larissa can be contacted via phone (605) 641-3156.

Contact Information

Primary practice address
210 Anderson St Lead SD 57754-1402
Phone: (605) 641-3156
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X South Dakota

Profile Details

NPI number 1346372448
LBN Legal business name Stewart, Larissa
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Jan 26th, 2010 - about 14 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 1346372448 NPPES
South Dakota MEDICAID 5836293

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