Individual provider Active NPI

Larry Wynard Aslin, MA CCC SLP

  • Speech-Language Pathologist
  • Fayetteville, AR
National Provider Identifier
1508901117
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP182 Issued in AR
Practice address
410 Arkansas Avenue
University Speech & Hearing Clinic
Fayetteville, AR 72701-1201
Phone
(479) 575-4918
Fax
(479) 575-4507
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

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

LicenseStateTypeSpecialty
SP182ARMDSpeech-Language Pathologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP182 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

410 Arkansas Avenue
University Speech & Hearing Clinic
Fayetteville, AR 72701-1201

Mailing address

790 East Elm Street
Fayetteville, AR 72703
Phone (479) 521-0485

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
ST204OtherARBCBS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508901117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 EAST ELM STREET",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-521-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ARKANSAS AVENUE",
            "address_2": "UNIVERSITY SPEECH & HEARING CLINIC",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727011201",
            "telephone_number": "479-575-4918",
            "fax_number": "479-575-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASLIN",
        "first_name": "LARRY",
        "middle_name": "WYNARD",
        "name_prefix": "Mr.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "ST204",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.