Nathanael M Larsen in Fergus Falls - Clinical
Nathanael M Larsen - NPI 1912954728
Nathanael M Larsen is a Clinical in Fergus Falls, Minnesota. Nathanael M Larsen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nathanael M Larsen is 1912954728. The last update date is 2007-07-08.
Nathanael M Larsen's current location address is 126 E Alcott Ave, Fergus Falls, Minnesota. You can contact this provider via phone number 2187366987 and fax number 2187366980. The mailing address for Nathanael M Larsen is 126 E Alcott Ave, Fergus Falls, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nathanael M Larsen |
|---|---|
| Address | 126 E Alcott Ave, Fergus Falls, Minnesota |
| Phone Number | 2187366987 |
| Fax Number | 2187366980 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1912954728 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 126 E Alcott Ave |
|---|---|
| City | Fergus Falls |
| State | Minnesota (MN) |
| Post Code | 565372903 |
| Phone Number | 2187366987 |
| Fax Number | 2187366980 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP2878 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HP23070 | MN | HEALTHPARTNER | |
| 1010714 | MN | PREFERREDONE | |
| 62-20513 | MN | UNITED BEHAVIOR HEALTH | |
| 57399LA | MN | MN BLUE CROSS BLUE SHIELD | |
| 116689 | MN | UCARE MINNESOTA |
Post Comment/ Review Below
What is the Nathanael M Larsen's unique identification number?
The Nathanael M Larsen has been assigned the NPI (National Provider Identifier) Number 1912954728 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Nathanael M Larsen is physically located?
The Nathanael M Larsen is situated at the following address: 126 E Alcott Ave, Fergus Falls, MN 565372903.
What is the Nathanael M Larsen's specialty and taxonomy code?
The Nathanael M Larsen's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1912954728 to Nathanael M Larsen?
The Nathanael M Larsen received its 1912954728 assignment from the Centers for Medicare & Medicaid Services on 2006-05-27.
As of what date was the information pertaining to Nathanael M Larsen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Nathanael M Larsen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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