Theresa Lynn Larson, MS,CCC-SLP is a
Speech-language Pathologist based in Tarkio, Missouri. Theresa Lynn Larson is licensed to practice in Missouri (license number 2009006116) and her current practice location is
300 Cedar St, Tarkio, Missouri. She can be reached at her office (for appointments etc.) via phone at
(660) 736-4116.
NPI number for Theresa Lynn Larson is 1174764419 and her current mailing address is 19539 215th Street, Rock Port, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174764419.
Healthcare Provider's Profile
Full Name | Theresa Lynn Larson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 300 Cedar St, Tarkio, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174764419
- Provider Enumeration Date: 03/17/2009
- Last Update Date: 03/17/2009
Medical Identifiers
Medical identifiers for Theresa Lynn Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174764419 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 2009006116 (Missouri) | 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. Theresa Lynn Larson 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 |
Theresa Lynn Larson, MS,CCC-SLP 19539 215th Street, Rock Port, MO 64482 Ph: (660) 253-0924 | Theresa Lynn Larson, MS,CCC-SLP 300 Cedar St, Tarkio, MO 64491-1174 Ph: (660) 736-4116 |
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