Larson, Beth A

Larson, Beth A is an sole proprietor health care provider with primary practice located at 7225 Forestview Ln N , Maple Grove MN 55369-5501. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Larson, Beth A can be contacted via phone (612) 824-0974.

Contact Information

Primary practice address
7225 Forestview Ln N Maple Grove MN 55369-5501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP3421 Minnesota

Profile Details

NPI number 1134259112
LBN Legal business name Larson, Beth A
Credentials LP (PSYCHOLOGIST)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 17 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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