DR. Jeffery Blythe Larsen, PH.D., CCC-A

NPI #1033441308 in Logan, Utah

Provider Information

NPI Number
1033441308
Entity Type
Individual
Name
DR. Jeffery Blythe Larsen, PH.D., CCC-A
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Audiologist
Credential
PH.D., CCC-A
Enumeration Date
Feb 11, 2010
Last Updated
Nov 13, 2018

Practice Location

Address
1000 OLD MAIN HL
Address 2
COMD DEPARTMENT, UMC 1000
City
Logan
State
Utah
ZIP Code
84322-1000
Phone
(435) 797-1390

Specialties & Taxonomy Codes

Specialty
Audiologist

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