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Contact Information

STACEY LARSON, PSYD
69 BAKER STREET
HOLLISTON, MA01746
 Phone: 302-545-0246
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STACEY LARSON · (Female)

NPI # 1851800106
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 09/28/2017
Last updated 10/10/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 05567
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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