Provider Demographics
NPI:1003824285
Name:SCARLET LARKIN INC
Entity type:Organization
Organization Name:SCARLET LARKIN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SCARLET
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:LARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:303-702-0091
Mailing Address - Street 1:519 EMERY ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-5544
Mailing Address - Country:US
Mailing Address - Phone:303-702-0091
Mailing Address - Fax:303-702-0108
Practice Address - Street 1:519 EMERY ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-5544
Practice Address - Country:US
Practice Address - Phone:303-702-0091
Practice Address - Fax:303-702-0108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000181603Medicaid