Provider Demographics
NPI:1538851399
Name:LARKIN, ELIJAH (MS SLP-CF)
Entity type:Individual
Prefix:MR
First Name:ELIJAH
Middle Name:
Last Name:LARKIN
Suffix:
Gender:M
Credentials:MS SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9370 STEDMAN RD
Mailing Address - Street 2:
Mailing Address - City:LEE CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:13363-2030
Mailing Address - Country:US
Mailing Address - Phone:315-338-3495
Mailing Address - Fax:
Practice Address - Street 1:19 ROBINSON RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NY
Practice Address - Zip Code:13323-1418
Practice Address - Country:US
Practice Address - Phone:315-853-6090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist