DR. William Walter Larsen, PH.D.
NPI #1083712301 in Grand Rapids, Minnesota
Provider Information
- NPI Number
- 1083712301
- Entity Type
- Individual
- Name
- DR. William Walter Larsen, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 525 ITASCA ST
- City
- Grand Rapids
- State
- Minnesota
- ZIP Code
- 55744-2965
- Phone
- (218) 327-2295
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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