D. Jayne Larson Et Al Ptr

NPI #1225171937 in Austin, Texas

Provider Information

NPI Number: 1225171937
Entity Type: Organization
Organization Name: D. Jayne Larson Et Al Ptr
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Feb 14, 2007
Last Updated: Aug 18, 2008

Practice Location

Address: 3724 JEFFERSON ST
Address 2: SUITE 316
City: Austin
State: Texas
ZIP Code: 78731-6222
Phone: (512) 453-6778

Authorized Official

Name: MS. DEBORAH JAYNE LARSON, M.S.,CCC-SLP
Title: CLINICAL DIRECTOR
Phone: (512) 453-6778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X
Speech-Language Pathologist	235Z00000X	Primary

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