Eric Larson is a Clinical in Milwaukee, Wisconsin. Eric Larson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eric Larson is 1386763902. The last update date is 2013-03-08.
Eric Larson's current location address is 5000 W National Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4143842000 and fax number 4142599012. The mailing address for Eric Larson is 5000 W National Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Larson |
|---|---|
| Address | 5000 W National Ave, Milwaukee, Wisconsin |
| Phone Number | 4143842000 |
| Fax Number | 4142599012 |
| Sole Proprietor | N |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1386763902 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2013-03-08 |
Provider Mailing Address Detail
| Address | 5000 W National Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532950001 |
| Phone Number | 4143842000 |
| Fax Number | 4142599012 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2808 |
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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 |
|---|---|---|---|
| 1386763902 | WI | -- | |
| 71006762 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Eric Larson by the Centers for Medicare & Medicaid Services?
The Eric Larson has been assigned the NPI (National Provider Identifier) 1386763902. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Eric Larson's facilities are situated?
The facilities of Eric Larson are physically located at the following address: 5000 W National Ave, Milwaukee, WI, 532950001.
What is Eric Larson's area of expertise and its corresponding taxonomy classification?
The Eric Larson's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1386763902 assigned to Eric Larson?
The Eric Larson was issued its 1386763902 on 2007-03-28, 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 Eric Larson's details last updated?
The information pertaining to the Eric Larson, including its address, specialty, and other details, was most recently updated on 2013-03-08.
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