IndividualActive
Jeffery Larsen, PH.D., CCC-A
NPI 1033441308 · Audiologist · Logan, UT
Provider details
- NPI number
- 1033441308
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- PH.D., CCC-A
- Sex
- Male
- Sole proprietor
- No
- License
- 6207896-4101 (UT)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 Old Main Hl
Comd Department, Umc 1000
Logan, UT 84322-1000
Phone: (435) 797-1390
Approximate (ZIP-level) locationGet directions
Mailing address
6410 Old Main Hl
Logan, UT 84322-6410
Registry dates
- Enumerated
- 2010-02-11
- Last updated
- 2018-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.