Larsen, Judith Anne
Larsen, Judith Anne is an individual health care provider with primary practice located at 58 Old Colony Ave , South Boston MA 02127-2406. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Larsen, Judith Anne can be contacted via phone (617) 268-1700.Contact Information
Primary practice address
58 Old Colony Ave
South Boston MA 02127-2406
Phone: (617) 268-1700
Fax: (617) 268-1991
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4567 | Massachusetts |
Profile Details
NPI number | 1629031570 |
---|---|
LBN Legal business name | Larsen, Judith Anne |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 11th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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