Provider Demographics
NPI:1306153598
Name:LARMANN, JENNIFER C (AUD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:C
Last Name:LARMANN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:L
Other - Last Name:COOKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1700 KINGFISHER DR
Mailing Address - Street 2:STE 27
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4771
Mailing Address - Country:US
Mailing Address - Phone:561-393-9150
Mailing Address - Fax:
Practice Address - Street 1:1601 CLINT MOORE RD STE 105
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-5712
Practice Address - Country:US
Practice Address - Phone:561-393-9150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01211231H00000X
GAAUD003879231H00000X
FLAY1765231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist