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Contact Information

NATHAN LARSON, PSY.D,, HSPP
9106 N MERIDIAN ST
SUITE 100
INDIANAPOLIS, IN46260-1884
 Phone: 317-575-9111
 Fax: 317-571-4470
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for NATHAN LARSON · (Male)

NPI # 1306028295
Status Active
Credentials PSY.D,, HSPP
Entity Individual
Enumeration date 12/03/2007
Last updated 09/26/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 20042106A
  • IN Medicaid 200888350
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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