Provider Demographics
NPI:1780835405
Name:LAROSA, APRIL LYNN (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:LYNN
Last Name:LAROSA
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18656 MILL GROVE DR
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-6590
Mailing Address - Country:US
Mailing Address - Phone:317-697-6873
Mailing Address - Fax:
Practice Address - Street 1:18656 MILL GROVE DR
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062-6590
Practice Address - Country:US
Practice Address - Phone:317-697-6873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22004454A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist