Mark R. Larson is a Clinical in Rochester, New York. Mark R. Larson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark R. Larson is 1124088208. The last update date is 2007-07-08.
Mark R. Larson's current location address is 130 Allens Creek Rd, Rochester, New York. You can contact this provider via phone number 5854735810 and fax number 5854735193. The mailing address for Mark R. Larson is 130 Allens Creek Rd, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark R. Larson |
|---|---|
| Address | 130 Allens Creek Rd, Rochester, New York |
| Phone Number | 5854735810 |
| Fax Number | 5854735193 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1124088208 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 130 Allens Creek Rd |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146183305 |
| Phone Number | 5854735810 |
| Fax Number | 5854735193 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 13650 |
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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 |
|---|---|---|---|
| 106063FC | NY | PREFERRED CARE | |
| 7043329 | NY | AETNA | |
| S13650-7W | NY | WORKER'S COMPENSATION |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark R. Larson by the Centers for Medicare & Medicaid Services?
The Mark R. Larson has been assigned the NPI (National Provider Identifier) 1124088208 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Mark R. Larson's physical address?
The Mark R. Larson is physically located at 130 Allens Creek Rd, in the city of Rochester, NY, with the postal code 146183305.
What is Mark R. Larson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark R. Larson is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date was the 1124088208 assigned to Mark R. Larson?
The Mark R. Larson was issued its 1124088208 on 2006-03-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mark R. Larson last refreshed?
The information related to the Mark R. Larson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.