Larsen, Steve Mark

Larsen, Steve Mark is an individual health care provider with primary practice located at 1507 W Main St , Gatesville TX 76528-1024. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Larsen, Steve Mark can be contacted via phone (254) 865-8251.

Contact Information

Primary practice address
1507 W Main St Gatesville TX 76528-1024
Phone: (254) 865-8251
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY0466 Nevada
Behavioral Health & Social Service Providers / Clinical 103TC0700X 36884 Texas

Profile Details

NPI number 1083673123
LBN Legal business name Larsen, Steve Mark
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Jan 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083673123 NPPES
Texas Other 36884 STATE LICENSING BOARD
Texas MEDICAID 100503261 STATE LICENSING BOARD

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