Larson, Elizabeth Anne
Larson, Elizabeth Anne is an individual health care provider with primary practice located at 5000 S Broadband Ln Suite 107, Sioux Falls SD 57108-2260. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Larson, Elizabeth Anne can be contacted via phone (605) 275-2277.Contact Information
Primary practice address
5000 S Broadband Ln Suite 107
Sioux Falls SD 57108-2260
Phone: (605) 275-2277
Fax: (605) 275-2279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | SD424 | South Dakota |
Profile Details
| NPI number | 1649384801 |
|---|---|
| LBN Legal business name | Larson, Elizabeth Anne |
| Credentials | EDD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Aug 2nd, 2013 - about 12 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 | 1649384801 | NPPES |
| Other | 455505000 | MAGELLAN BEHAVIORAL HEALT | |
| MEDICAID | 6551970 | MAGELLAN BEHAVIORAL HEALT | |
| Other | 7305 | MAGELLAN BEHAVIORAL HEALT | |
| Other | 4996486 | MAGELLAN BEHAVIORAL HEALT | |
| Other | 4905421 | MAGELLAN BEHAVIORAL HEALT | |
| Other | 9982 | MAGELLAN BEHAVIORAL HEALT | |
| Other | 102709 | MAGELLAN BEHAVIORAL HEALT | |
| Other | 22188 | MAGELLAN BEHAVIORAL HEALT |
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