Provider Demographics
NPI:1902426117
Name:LARKINS, ASPEN (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ASPEN
Middle Name:
Last Name:LARKINS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2770 NW 174TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33056-4033
Mailing Address - Country:US
Mailing Address - Phone:305-300-4346
Mailing Address - Fax:
Practice Address - Street 1:2770 NW 174TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-4033
Practice Address - Country:US
Practice Address - Phone:305-300-4346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA15834235Z00000X
GASLP010803235Z00000X
CA29593235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist