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Contact Information

STEVE M LARSEN, PhD
1507 W MAIN ST
GATESVILLE, TX76528-1024
 Phone: 254-865-8251
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STEVE M LARSEN · (Male)

NPI Number 1083673123
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/18/2006
Last updated 01/15/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NV License # PY0466
  • TX License # 36884
  • NV Medicaid 100503261
  • TX Other 36884 STATE LICENSING BOARD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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