Jennifer Rebekah Larson in Raleigh - Clinical Neuropsychologist
Jennifer Rebekah Larson - NPI 1487665584
Jennifer Rebekah Larson is a Clinical Neuropsychologist in Raleigh, North Carolina. Jennifer Rebekah Larson practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Jennifer Rebekah Larson is 1487665584. The last update date is 2019-10-15.
Jennifer Rebekah Larson's current location address is 8406 Six Forks Rd Ste 101, Raleigh, North Carolina. You can contact this provider via phone number 9194736451 and fax number 8445844207. The mailing address for Jennifer Rebekah Larson is 8406 Six Forks Rd Ste 101, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Rebekah Larson |
|---|---|
| Address | 8406 Six Forks Rd Ste 101, Raleigh, North Carolina |
| Phone Number | 9194736451 |
| Fax Number | 8445844207 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1487665584 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2019-10-15 |
Provider Mailing Address Detail
| Address | 8406 Six Forks Rd Ste 101 |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276153075 |
| Phone Number | 9194736451 |
| Fax Number | 8445844207 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 2648 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 045GA | NC | BCBS | |
| 6000216 | NC | -- |
Post Comment/ Review Below
What is the Jennifer Rebekah Larson's 1487665584?
The Jennifer Rebekah Larson's NPI (National Provider Identifier) Number is 1487665584. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jennifer Rebekah Larson's physical address?
The Jennifer Rebekah Larson is physically located at 8406 Six Forks Rd Ste 101, in the city of Raleigh, NC, with the postal code 276153075.
What is the Jennifer Rebekah Larson's area of specialization and corresponding taxonomy classification?
The Jennifer Rebekah Larson's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.
When did Jennifer Rebekah Larson receive its 1487665584 assignment?
The Jennifer Rebekah Larson was assigned its 1487665584 on 2006-08-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jennifer Rebekah Larson last refreshed?
The information related to the Jennifer Rebekah Larson, including its address, specialty, and other relevant details, was last updated on 2019-10-15.