Steve Mark Larsen PH.D.

NPI 1083673123 - Psychologist - 103TC2200X

NPI Details
NPI 1083673123
Gender Male
Enumeration Date 03/18/2006
Last Updated 01/15/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
1507 W MAIN ST
GATESVILLE TX, 76528-1024, US
Phone (254) 865-8251
Fax
Business Location
1507 W MAIN ST
GATESVILLE TX, 76528-1024, US
Phone (254) 865-8251
Fax
Toxanomy
Taxonomy Code 103TC2200X
License State Nevada
License Number PY0466
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According to our database, Dr. Steve Mark Larsen PH.D. NPI is 1083673123, taxonomy code is 103TC2200X and license number is PY0466, license state is located at Nevada. Steve Mark Larsen PH.D. physically located at 1507 W Main St, Gatesville TX, 76528-1024. NPI Number Steve Mark Larsen PH.D. has the Individual type.

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1083673123 NPI number is provided on an as is basis without warranty of any kind. 1083673123 is maintained by the National Plan & Provider Enumeration System. The contents of Steve Mark Larsen PH.D. are for informational purposes only.