Steve Mark Larsen in Gatesville - Clinical Child & Adolescent
Steve Mark Larsen - NPI 1083673123
Steve Mark Larsen is a Clinical Child & Adolescent in Gatesville, Texas. Steve Mark Larsen practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Steve Mark Larsen is 1083673123. The last update date is 2016-01-15.
Steve Mark Larsen's current location address is 1507 W Main St, Gatesville, Texas. You can contact this provider via phone number 2548658251. The mailing address for Steve Mark Larsen is 1507 W Main St, Gatesville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steve Mark Larsen |
|---|---|
| Address | 1507 W Main St, Gatesville, Texas |
| Phone Number | 2548658251 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1083673123 |
|---|---|
| Provider Enumeration Date | 2006-03-18 |
| Last Updated Date | 2016-01-15 |
Provider Mailing Address Detail
| Address | 1507 W Main St |
|---|---|
| City | Gatesville |
| State | Texas (TX) |
| Post Code | 765281024 |
| Phone Number | 2548658251 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PY0466 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36884 | TX | STATE LICENSING BOARD | |
| 100503261 | NV | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Steve Mark Larsen by the Centers for Medicare & Medicaid Services?
The Steve Mark Larsen has been assigned the NPI (National Provider Identifier) 1083673123. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Steve Mark Larsen?
The Steve Mark Larsen is situated at 1507 W Main St, in the city of Gatesville, state of TX, with the zip code 765281024.
What is Steve Mark Larsen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Steve Mark Larsen's specialized field of practice is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.
On what date did Steve Mark Larsen receive its 1083673123 assignment from the Centers for Medicare & Medicaid Services?
The Steve Mark Larsen was assigned its 1083673123 on 2006-03-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Steve Mark Larsen last refreshed?
The information related to the Steve Mark Larsen, including its address, specialty, and other relevant details, was last updated on 2016-01-15.
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