Kelly C Larsen
NPI #1942756804 in Rio Rancho, New Mexico
Provider Information
- NPI Number
- 1942756804
- Entity Type
- Individual
- Name
- Kelly C Larsen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - School
- Enumeration Date
- Aug 31, 2016
- Last Updated
- Aug 31, 2016
Practice Location
- Address
- 500 LASER RD NE
- City
- Rio Rancho
- State
- New Mexico
- ZIP Code
- 87124-4517
- Phone
- (505) 896-0667
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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