Larsen, Larry L
Larsen, Larry L is an individual health care provider with primary practice located at 28 Andover Street , Andover MA 01810. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Larsen, Larry L can be contacted via phone (978) 475-6622.Contact Information
Primary practice address
28 Andover Street
Andover MA 01810
Phone: (978) 475-6622
Fax: (978) 475-8436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 575 | Massachusetts |
Profile Details
| NPI number | 1396855474 |
|---|---|
| LBN Legal business name | Larsen, Larry L |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Dec 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396855474 | NPPES |
| Massachusetts | MEDICAID | 0501735 |
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