Stacy Marie Larson

Speech-Language Pathologist · Quincy, IL

Individual Active NPI

NPI number 1952637829

Practice location

1005 Broadway St
Quincy, IL 62301-2834
Phone
(217) 223-8400
Fax
(217) 223-9945

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NPI record

NPI
1952637829
Entity type
Individual (Type 1)
Enumeration date
October 27, 2009
Last updated
November 10, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 146005844 IL
Speech-Language Pathologist 235Z00000X 2000157282 MO

Mailing address

PO Box 7005
14TH and Broadway
Quincy, IL 62305-7005
Phone
(217) 223-8400
Fax
(217) 223-9945

About Stacy Larson

Stacy Marie Larson is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1005 Broadway St, Quincy, IL 62301-2834. The NPI number 1952637829 was assigned on October 27, 2009 and the record was last updated on November 10, 2009.

Stacy Larson lists 2 licenses in the registry: #146005844 (IL) for Speech-Language Pathologist; #2000157282 (MO) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stacy Marie Larson?

The NPI number is 1952637829.

What is the phone number of Stacy Larson?

The phone number listed for the practice location is (217) 223-8400.

Where is Stacy Larson located?

1005 Broadway St, Quincy, IL 62301-2834.

What is the taxonomy code for Stacy Larson?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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