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Contact Information

KRISTIN LARSON, ED.D.
940 W FREMONT ST
GALESBURG, IL61401-2558
 Phone: 309-368-9850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KRISTIN LARSON · (Female)

NPI # 1811325319
Status Active
Credentials ED.D.
Entity Individual
Enumeration date 10/18/2013
Last updated 10/18/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 071006423
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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