Kenneth A Larsen DMIN, PHD, ABMP

NPI 1053343707 - Psychologist - 103TC0700X

NPI Details
NPI 1053343707
Gender Male
Enumeration Date 07/06/2006
Last Updated 09/21/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
125 PARKER HILL AVE
ROXBURY CROSSING MA, 02120-2847, US
Phone (617) 754-5160
Fax (617) 750-5444
Business Location
162 DODGE RD
ROWLEY MA, 01969-2211, US
Phone (617) 413-2328
Fax (617) 754-5444
Toxanomy
Taxonomy Code 103TC0700X
License State Massachusetts
License Number 2944
Remove 1053343707 NPI Number
 

According to our database, Dr. Kenneth A Larsen DMIN, PHD, ABMP NPI is 1053343707, taxonomy code is 103TC0700X and license number is 2944, license state is located at Massachusetts. Kenneth A Larsen DMIN, PHD, ABMP physically located at 125 Parker Hill Ave, Roxbury Crossing MA, 02120-2847. NPI Number Kenneth A Larsen DMIN, PHD, ABMP has the Individual type.

Sponsored links

1053343707 NPI number is provided on an as is basis without warranty of any kind. 1053343707 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth A Larsen DMIN, PHD, ABMP are for informational purposes only.