Nathan Larson is a Clinical in Indianapolis, Indiana. Nathan Larson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nathan Larson is 1306028295. The last update date is 2011-09-26.
Nathan Larson's current location address is 9106 N Meridian St, Indianapolis, Indiana. You can contact this provider via phone number 3175759111 and fax number 3175714470. The mailing address for Nathan Larson is 9106 N Meridian St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Nathan Larson |
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Address | 9106 N Meridian St, Indianapolis, Indiana |
Phone Number | 3175759111 |
Fax Number | 3175714470 |
Sole Proprietor | N |
Credentials | PSY.D,, HS |
NPI Number Detail
NPI Number | 1306028295 |
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Provider Enumeration Date | 2007-12-03 |
Last Updated Date | 2011-09-26 |
Provider Mailing Address Detail
Address | 9106 N Meridian St |
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City | Indianapolis |
State | Indiana (IN) |
Post Code | 462601884 |
Phone Number | 3175759111 |
Fax Number | 3175714470 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 20042106A |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
200888350 | IN | -- |
Post Comment/ Review Below
What is the Nathan Larson's unique identification number?
The Nathan Larson has been assigned the NPI (National Provider Identifier) Number 1306028295 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Nathan Larson?
The Nathan Larson is physically situated at 9106 N Meridian St, in the city of Indianapolis, state of IN, with the postal code 462601884.
What is the area of specialization for Nathan Larson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Nathan Larson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When was the Nathan Larson's 1306028295 issued?
The Nathan Larson's 1306028295 was issued on 2007-12-03.
When was the information regarding Nathan Larson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Nathan Larson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-09-26.