Tara Lee Larson
NPI #1447436373 in Antioch, California
Provider Information
- NPI Number
- 1447436373
- Entity Type
- Individual
- Name
- Tara Lee Larson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical Child & Adolescent
- Enumeration Date
- Jan 10, 2008
- Last Updated
- Jan 10, 2008
Practice Location
- Address
- 509 W 10TH ST
- City
- Antioch
- State
- California
- ZIP Code
- 94509-1653
- Phone
- (925) 777-9540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent |
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