Larsen, Kenneth A
Larsen, Kenneth A is an sole proprietor health care provider with primary practice located at 20 Guest St Ste 225, Brighton MA 02135-2065. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Larsen, Kenneth A can be contacted via phone (617) 754-5160.Contact Information
Primary practice address
20 Guest St Ste 225
Brighton MA 02135-2065
Phone: (617) 754-5160
Fax: (617) 750-5444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2944 | Massachusetts |
Profile Details
| NPI number | 1053343707 |
|---|---|
| LBN Legal business name | Larsen, Kenneth A |
| Credentials | DMIN, PHD, ABMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jul 5th, 2016 - about 9 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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