Leslie Ann Larson is a Clinical in Glendale, California. Leslie Ann Larson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leslie Ann Larson is 1194804336. The last update date is 2007-07-08.
Leslie Ann Larson's current location address is 410 Arden Ave Ste 201, Glendale, California. You can contact this provider via phone number 8185695416 and fax number 8182416853. The mailing address for Leslie Ann Larson is 410 Arden Ave Ste 201, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Ann Larson |
|---|---|
| Address | 410 Arden Ave Ste 201, Glendale, California |
| Phone Number | 8185695416 |
| Fax Number | 8182416853 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1194804336 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 410 Arden Ave Ste 201 |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912034006 |
| Phone Number | 8185695416 |
| Fax Number | 8182416853 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY16503 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Leslie Ann Larson's unique identification number?
The Leslie Ann Larson has been assigned the NPI (National Provider Identifier) Number 1194804336 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Leslie Ann Larson's facilities are situated?
The facilities of Leslie Ann Larson are physically located at the following address: 410 Arden Ave Ste 201, Glendale, CA, 912034006.
What is the area of specialization for Leslie Ann Larson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Leslie Ann Larson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1194804336 to Leslie Ann Larson?
The Centers for Medicare & Medicaid Services assigned the 1194804336 to Leslie Ann Larson on 2006-11-06.
When was the information pertaining to Leslie Ann Larson most recently updated or revised?
The details related to Leslie Ann Larson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA