Provider Demographics
NPI:1740331859
Name:LARKIN, MARY ANNE (AUD)
Entity type:Individual
Prefix:DR
First Name:MARY ANNE
Middle Name:
Last Name:LARKIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2382
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29465-2382
Mailing Address - Country:US
Mailing Address - Phone:843-990-8329
Mailing Address - Fax:843-410-6374
Practice Address - Street 1:966 HOUSTON NORTHCUTT BLVD STE D
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3487
Practice Address - Country:US
Practice Address - Phone:843-990-8329
Practice Address - Fax:843-410-6374
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC461231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist