Larson, Essie M

Larson, Essie M is an individual health care provider with primary practice located at 175 Cedar Ln Suite #8, Teaneck NJ 07666-4315. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Larson, Essie M can be contacted via phone (201) 888-7135.

Contact Information

Primary practice address
175 Cedar Ln Suite #8 Teaneck NJ 07666-4315
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 016952 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI00453900 New Jersey

Profile Details

NPI number 1649328493
LBN Legal business name Larson, Essie M
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Oct 16th, 2012 - 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.

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