Individual provider Active NPI

Laura Leigh Larsen-Stevovich, SLP

  • Speech-Language Pathologist
  • Marlboro, MA
National Provider Identifier
1548573686
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4775 Issued in MA
Practice address
221 Boston Post Rd. East
Suite 150 Thom Early Intervention
Marlboro, MA 01752
Phone
(508) 624-0304
Fax
(508) 624-0391
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4775 MA Primary

Addresses

Primary practice location

221 Boston Post Rd. East
Suite 150 Thom Early Intervention
Marlboro, MA 01752

Mailing address

221 Boston Post Rd. East
Thom Early Intervention
Marlboro, MA 01752

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

State licenses

LicenseStateTypeSpecialty
4775MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thom Marlboro Area Early Intervention Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1548573686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BOSTON POST RD. EAST",
            "address_2": "THOM EARLY INTERVENTION",
            "city": "MARLBORO",
            "state": "MA",
            "postal_code": "01752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BOSTON POST RD. EAST",
            "address_2": "SUITE 150 THOM EARLY INTERVENTION",
            "city": "MARLBORO",
            "state": "MA",
            "postal_code": "01752",
            "telephone_number": "508-624-0304",
            "fax_number": "508-624-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN-STEVOVICH",
        "first_name": "LAURA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "4775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.