Stephen J Large PSY.D.

NPI 1114213295 - Psychologist - 103TC0700X

NPI Details
NPI 1114213295
Gender Male
Enumeration Date 06/27/2011
Last Updated 06/27/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
542 W 6TH ST
# 3
ERIE PA, 16507-1169, US
Phone (937) 212-3845
Fax
Business Location
542 W 6TH ST
# 3
ERIE PA, 16507-1169, US
Phone (937) 212-3845
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Pennsylvania
License Number PS016742
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According to our database, Dr. Stephen J Large PSY.D. NPI is 1114213295, taxonomy code is 103TC0700X and license number is PS016742, license state is located at Pennsylvania. Stephen J Large PSY.D. physically located at 542 W 6th St, Erie PA, 16507-1169. NPI Number Stephen J Large PSY.D. has the Individual type.

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1114213295 NPI number is provided on an as is basis without warranty of any kind. 1114213295 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen J Large PSY.D. are for informational purposes only.