Larson Psychological Services, LLC

NPI #1447609649 in Indialantic, Florida

Provider Information

NPI Number: 1447609649
Entity Type: Organization
Organization Name: Larson Psychological Services, LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jun 8, 2016
Last Updated: Jun 8, 2016

Practice Location

Address: 122 4TH AVE
Address 2: SUITE 200
City: Indialantic
State: Florida
ZIP Code: 32903-3112
Phone: (321) 327-3793

Authorized Official

Name: DR. MOLLY LARSON, PH.D.
Title: CLINICAL PSYCHOLOGIST
Phone: (321) 327-3793

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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