DR. Roger A Larson, PSYD

NPI #1841231065 in Bismarck, North Dakota

Provider Information

NPI Number: 1841231065
Entity Type: Individual
Name: DR. Roger A Larson, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Jun 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1237 W DIVIDE AVE
Address 2: STE 5
City: Bismarck
State: North Dakota
ZIP Code: 58501-1208
Phone: (701) 328-8883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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