Active NPI
Larissa Wolfe, M.A. CCC-SLP
- Speech-Language Pathologist
- Middletown, OH
National Provider Identifier
1174051379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9431
- Practice address
- 5795 W Alexandria Rd
Middletown, OH 45042-8900 - Phone
- (513) 420-4755
- NPI assigned
- Jun 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9431 | OH | Primary |
Addresses
Primary practice location
5795 W Alexandria Rd
Middletown, OH 45042-8900
Mailing address
3554 McLean Rd
Franklin, OH 45005-4720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9431 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496275200000",
"number": "1174051379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3554 MCLEAN RD",
"city": "FRANKLIN",
"state": "OH",
"postal_code": "450054720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5795 W ALEXANDRIA RD",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450428900",
"telephone_number": "513-420-4755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "LARISSA",
"name_prefix": "Mrs.",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-01",
"last_updated": "2017-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "9431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.