Beckwith, Larisa

Beckwith, Larisa is an sole proprietor health care provider with primary practice located at 764 Faxon Ave , San Francisco CA 94112-1204. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Beckwith, Larisa can be contacted via phone (310) 562-4048.

Contact Information

Primary practice address
764 Faxon Ave San Francisco CA 94112-1204
Phone: (310) 562-4048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X PSY17813 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY17813 California
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X PSY17813 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY17813 California

Profile Details

NPI number 1629614144
LBN Legal business name Beckwith, Larisa
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2019
Last updated Mar 26th, 2020 - about 4 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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