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Contact Information

SAMUEL W LARSON, PhD
2200 21ST AVE S STE 300
NASHVILLE, TN37212-4929
 Phone: 615-933-3571
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for SAMUEL W LARSON · (Male)

NPI # 1699143677
Status Active
Credentials PhD
Entity Individual
Enumeration date 09/09/2015
Last updated 02/11/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 3698
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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