Provider Demographics
NPI:1174868012
Name:LARRIVEE, EMILIE CAITLIN (SLPD, CAGS, CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:EMILIE
Middle Name:CAITLIN
Last Name:LARRIVEE
Suffix:
Gender:F
Credentials:SLPD, CAGS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 QUAKER LN
Mailing Address - Street 2:
Mailing Address - City:BOLTON
Mailing Address - State:MA
Mailing Address - Zip Code:01740-1330
Mailing Address - Country:US
Mailing Address - Phone:508-274-0215
Mailing Address - Fax:
Practice Address - Street 1:91 QUAKER LN
Practice Address - Street 2:
Practice Address - City:BOLTON
Practice Address - State:MA
Practice Address - Zip Code:01740-1330
Practice Address - Country:US
Practice Address - Phone:508-274-0215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-04
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8334235Z00000X
NH2755235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist