Kelly, Larissa

Kelly, Larissa is an individual health care provider with primary practice located at 3020 Lakeland Highlands Rd , Lakeland FL 33803-4338. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Kelly, Larissa can be contacted via phone (863) 686-3189.

Contact Information

Primary practice address
3020 Lakeland Highlands Rd Lakeland FL 33803-4338
Phone: (863) 686-3189
Fax: (863) 682-1348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA12655 Florida

Profile Details

NPI number 1497185102
LBN Legal business name Kelly, Larissa
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2013
Last updated Nov 15th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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