Kenneth L. Larson, Ph.D., Inc.

LBN: Kenneth L. Larson, Ph.D., Inc.
Kenneth L. Larson, Ph.D., Inc. is an health care organization with primary practice located at 1891 E Roseville Pkwy Ste 100 , Roseville CA 95661-7974. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Kenneth L. Larson, Ph.D., Inc. can be contacted via phone (916) 789-7082, or through Larson, Kenneth Leroy via phone (916) 717-9368.

Contact Information

Primary practice address
1891 E Roseville Pkwy Ste 100 Roseville CA 95661-7974
Phone: (916) 789-7082
Fax: (916) 797-8840
Website:
Map and Directions
Authorized official contact:
Name: Larson, Kenneth Leroy PH.D.
Phone: (916) 717-9368

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY16221 California

Profile Details

NPI number 1609396183
LBN Legal business name Kenneth L. Larson, Ph.D., Inc.
DBA Doing business as
Authorized official Larson, Kenneth Leroy PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609396183 NPPES
California Other PSY16221 CALIFORNIA BOARD OF PSYCHOLOGY

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