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Contact Information

CHRISTINE LARSON
2441 E HARTFORD AVE
UNIVERSITY OF WISCONSIN-MILWAUKEE
MILWAUKEE, WI53211-3160
 Phone: 414-229-4996
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHRISTINE LARSON · (Female)

NPI Number 1366815573
Status Active
Credentials
Entity Individual
Enumeration date 11/10/2015
Last updated 11/10/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2702-57
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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