Colleen Renee Larson in Peoria - School
Colleen Renee Larson - NPI 1962672824
Colleen Renee Larson is a School in Peoria, Arizona. Colleen Renee Larson practices all healthcare services and medical treatments related to School. The NPI Number for Colleen Renee Larson is 1962672824. The last update date is 2020-05-28.
Colleen Renee Larson's current location address is 11806 N 87th Ave, Peoria, Arizona. You can contact this provider via phone number 6234875189. The mailing address for Colleen Renee Larson is 11806 N 87th Ave, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Colleen Renee Larson |
|---|---|
| Address | 11806 N 87th Ave, Peoria, Arizona |
| Phone Number | 6234875189 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | SCHOOL PSY |
NPI Number Detail
| NPI Number | 1962672824 |
|---|---|
| Provider Enumeration Date | 2008-03-06 |
| Last Updated Date | 2020-05-28 |
Provider Mailing Address Detail
| Address | 11806 N 87th Ave |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853458125 |
| Phone Number | 6234875189 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
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Definition: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide |
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What is the unique provider identifier assigned to Colleen Renee Larson?
The Colleen Renee Larson has been issued the NPI (National Provider Identifier) 1962672824 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Colleen Renee Larson?
The Colleen Renee Larson is situated at 11806 N 87Th Ave, in the city of Peoria, state of AZ, with the zip code 853458125.
What is Colleen Renee Larson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Colleen Renee Larson is School, and the taxonomy classification code that categorizes this area of expertise is 103Ts0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962672824 to Colleen Renee Larson?
The Centers for Medicare & Medicaid Services originally issued the 1962672824 to Colleen Renee Larson on 2008-03-06.
When was the information pertaining to Colleen Renee Larson most recently updated or revised?
The details related to Colleen Renee Larson, including its address, specialty, and other relevant information, were last updated or revised on 2020-05-28.
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