Larson, Stephen

Larson, Stephen is an individual health care provider with primary practice located at 352 Hommelville Rd , Saugerties NY 12477-4205. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Larson, Stephen can be contacted via phone (951) 285-3306.

Contact Information

Primary practice address
352 Hommelville Rd Saugerties NY 12477-4205
Phone: (951) 285-3306
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 018768-1 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X TP1267 Maine
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2584 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS1267 Maine

Profile Details

NPI number 1649230160
LBN Legal business name Larson, Stephen
Credentials PSY D
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jan 11th, 2011 - about 14 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 1649230160 NPPES
Maine MEDICAID 433395199
Maine MEDICAID 6002550

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