Melissa Larson, ST

NPI #1467571547 in Peoria, Illinois

Provider Information

NPI Number
1467571547
Entity Type
Individual
Name
Melissa Larson, ST
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
ST
Enumeration Date
Mar 28, 2007
Last Updated
Sep 6, 2007

Practice Location

Address
7725 N KNOXVILLE AVE
City
Peoria
ZIP Code
61614-2079
Phone
(309) 693-9189

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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