National Provider Identifier
Jennifer Marie Larson, M.S.CCC L/SLP
Jennifer Marie Larson, M.S.CCC L/SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Orchard Park, NY and a listed phone number of (716) 662-4800.
Profile Overview
- NPI
- 1962688879
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- January 10, 2008
- Last Updated
- January 10, 2008
Practice Location
- 6167 W Quaker St
- Orchard Park, NY 14127-2640
Phone: (716) 662-4800
Mailing Address
- 25 Lawrence Pl
- Orchard Park, NY 14127-3211
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1962688879
- Entity Type
- Individual
- Last Name
- Larson
- First Name
- Jennifer
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- M.S.CCC L/SLP
- Mailing Street Address
- 25 Lawrence Pl
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-3211
- Mailing Country
- US
- Practice Street Address
- 6167 W Quaker St
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2640
- Practice Country
- US
- Practice Phone
- (716) 662-4800
- Enumeration Date
- January 10, 2008
- Last Updated
- January 10, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)