Provider Demographics
NPI:1962793703
Name:LARWOOD, LOU YVONNE (EDD CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:LOU
Middle Name:YVONNE
Last Name:LARWOOD
Suffix:
Gender:F
Credentials:EDD CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:571 MADRONA AVE
Mailing Address - Street 2:
Mailing Address - City:FELTON
Mailing Address - State:CA
Mailing Address - Zip Code:95018-9236
Mailing Address - Country:US
Mailing Address - Phone:831-335-2671
Mailing Address - Fax:
Practice Address - Street 1:571 MADRONA AVE
Practice Address - Street 2:
Practice Address - City:FELTON
Practice Address - State:CA
Practice Address - Zip Code:95018-9236
Practice Address - Country:US
Practice Address - Phone:831-335-2671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7305235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist