Larson, Stacey

Larson, Stacey is an individual health care provider with primary practice located at 69 Baker Street , Holliston MA 01746. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Larson, Stacey can be contacted via phone (302) 545-0246.

Contact Information

Primary practice address
69 Baker Street Holliston MA 01746
Phone: (302) 545-0246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X 05567 Maryland
Behavioral Health & Social Service Providers / Clinical 103TC0700X 05567 Maryland

Profile Details

NPI number 1851800106
LBN Legal business name Larson, Stacey
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2017
Last updated Oct 10th, 2017 - about 7 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.

Request for update

Popular Providers