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Contact Information

LARRY D ARCHER, CLINICAL PSYCHOLOGIS
EVANSVILLE VA HEALTH CARE CENTER
6211 E. WATERFORD BLVD.
EVANSVILLE, IN47715
 Phone: 812-465-6202
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LARRY D ARCHER · (Male)

NPI # 1104833284
Status Active
Credentials CLINICAL PSYCHOLOGIS
Entity Individual
Enumeration date 08/02/2006
Last updated 05/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 20040417A
  • IN Medicaid 100254440B
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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