Provider Demographics
NPI:1538045505
Name:LARMORE, MAISON DREY (AUD)
Entity type:Individual
Prefix:
First Name:MAISON
Middle Name:DREY
Last Name:LARMORE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3027 PARKRIDGE DR APT 4
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-2422
Mailing Address - Country:US
Mailing Address - Phone:228-697-0329
Mailing Address - Fax:
Practice Address - Street 1:2116 DATA PARK
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1203
Practice Address - Country:US
Practice Address - Phone:205-733-9694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1416A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist