Provider Demographics
NPI:1255616462
Name:LANGUAGE, LEARNING, AND SPEECH CENTER
Entity type:Organization
Organization Name:LANGUAGE, LEARNING, AND SPEECH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH-LANGUAGE THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARNA
Authorized Official - Middle Name:K
Authorized Official - Last Name:SCARRY-LARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC/SLP
Authorized Official - Phone:805-543-3945
Mailing Address - Street 1:1130 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-2914
Mailing Address - Country:US
Mailing Address - Phone:805-543-3945
Mailing Address - Fax:805-543-6665
Practice Address - Street 1:1130 GROVE ST
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-2914
Practice Address - Country:US
Practice Address - Phone:805-543-3945
Practice Address - Fax:805-543-6665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 5544235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1578675369OtherINDIVIDUAL NPI FOR MARNA SCARRY-LARKIN