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Contact Information

STEPHEN J LARGE, PSY.D.
542 W 6TH ST
# 3
ERIE, PA16507-1169
 Phone: 937-212-3845
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STEPHEN J LARGE · (Male)

NPI # 1114213295
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 06/27/2011
Last updated 06/27/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # PS016742
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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