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Contact Information

NATHANAEL M LARSEN, PhD
126 E ALCOTT AVE
FERGUS FALLS, MN56537-2903
 Phone: 218-736-6987
 Fax: 218-736-6980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for NATHANAEL M LARSEN · (Male)

NPI # 1912954728
Status Active
Credentials PhD
Entity Individual
Enumeration date 05/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # LP2878
  • MN Other HP23070 HEALTHPARTNER
  • MN Other 57399LA MN BLUE CROSS BLUE SHIELD
  • MN Other 1010714 PREFERREDONE
  • MN Other 116689 UCARE MINNESOTA
  • MN Other 62-20513 UNITED BEHAVIOR HEALTH
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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