Anderson, Larry L
Anderson, Larry L is an sole proprietor health care provider with primary practice located at 2124 Dupont Ave S Ste 202 , Minneapolis MN 55405-2700. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Anderson, Larry L can be contacted via phone (612) 718-0894.Contact Information
Primary practice address
2124 Dupont Ave S Ste 202
Minneapolis MN 55405-2700
Phone: (612) 718-0894
Fax: (612) 879-0059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP4461 | Minnesota |
Profile Details
| NPI number | 1356485924 |
|---|---|
| LBN Legal business name | Anderson, Larry L |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Aug 11th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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