Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Larisa M Wilder, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1861718033

Larisa M Wilder, CCC-SLP is a Speech-Language Pathologist in Boulder, Colorado. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2010
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3825 Monterey Pl
Boulder, CO 80301
Phone: (720) 536-8948
Fax: (720) 536-8948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 12119008 (AZ)

Record details

NPI number1861718033
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedApril 13, 2010
Last updated in NPPESJanuary 2, 2014

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