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Contact Information

LARSON PSYCHOLOGICAL SERVICES, LLC
122 4TH AVE
SUITE 200
INDIALANTIC, FL32903-3112
 Phone: 321-327-3793
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LARSON PSYCHOLOGICAL SERVICES, LLC

NPI # 1447609649
LBN Legal business name LARSON PSYCHOLOGICAL SERVICES, LLC
Authorized official MOLLY LARSON - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2016
Last updated 06/08/2016 - About 10 years ago
Identifiers
FL License # PY9437
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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