NPI 1033441308

Jeffery Blythe Larsen, PHDCCCA

Practitioner Audiologist Logan, UT

Practice location

Address: 1000 Old Main Hl Comd Department, Umc 1000, Logan, UT 84322-1000
Phone: (435) 797-1390
Mailing address: 6410 Old Main Hl, Logan, UT 84322-6410

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 6207896-4101 (UT)

Other Audiologist providers in Utah →

Registry record

NPI: 1033441308
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Feb 2010
Record last updated: 13 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.