Martina Chantelle Larsen, MS, CCC-SLP is a
Speech-language Pathologist based in Naples, Utah. Martina Chantelle Larsen is licensed to practice in Utah (license number 9433177-4102) and her current practice location is
826 S 1500 E, Naples, Utah. She can be reached at her office (for appointments etc.) via phone at
(435) 781-3100.
NPI number for Martina Chantelle Larsen is 1073223814 and her current mailing address is Po Box 341, Neola, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073223814.
Healthcare Provider's Profile
Full Name | Martina Chantelle Larsen |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 826 S 1500 E, Naples, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073223814
- Provider Enumeration Date: 12/02/2022
- Last Update Date: 12/02/2022
Medical Identifiers
Medical identifiers for Martina Chantelle Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073223814 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 9433177-4102 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Martina Chantelle Larsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Martina Chantelle Larsen, MS, CCC-SLP Po Box 341, Neola, UT 84053-0341 Ph: () - | Martina Chantelle Larsen, MS, CCC-SLP 826 S 1500 E, Naples, UT 84078-8609 Ph: (435) 781-3100 |
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