Jeffrey J. Larson, Ph.d. | |
18623 Vashon Hwy Sw Vashon WA 98070-5211 | |
(206) 463-6359 | |
Not Available |
Full Name | Jeffrey J. Larson, Ph.d. |
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Speciality | Psychologist - Clinical |
Location | 18623 Vashon Hwy Sw, Vashon, Washington |
Authorized Official Name and Position | Jeffrey J Larson (PSYCHOLOGIST) |
Authorized Official Contact | 2064636359 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jeffrey J. Larson, Ph.d. 11628 103rd Ave Sw Vashon WA 98070-3106 Ph: (206) 463-6359 | Jeffrey J. Larson, Ph.d. 18623 Vashon Hwy Sw Vashon WA 98070-5211 Ph: (206) 463-6359 |
NPI Number | 1336205749 |
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Provider Enumeration Date | 12/29/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336205749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP1600X | Counselor - Pastoral | 3718 (Washington) | Primary |
103TC0700X | Psychologist - Clinical | 1608 (Washington) | Primary |
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