Active NPI
Laura Leigh Larsen-Stevovich, SLP
- Speech-Language Pathologist
- Marlboro, MA
National Provider Identifier
1548573686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4775
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4775 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Early Intervention Provider Agency
- Marlborough, MA
- NPI 1871884148
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.