| John A Larsen, Phd, Llc | |
|
5350 W 94th Ter Suite 204 Prairie Village KS 66207-2504 | |
| (913) 322-4235 | |
| (913) 322-4236 |
| Full Name | John A Larsen, Phd, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5350 W 94th Ter, Prairie Village, Kansas |
| Authorized Official Name and Position | John A. Larsen (PSYCHOLOGIST) |
| Authorized Official Contact | 9133224235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John A Larsen, Phd, Llc 5350 W 94th Ter Suite 204 Prairie Village KS 66207-2504 Ph: (913) 322-4235 | John A Larsen, Phd, Llc 5350 W 94th Ter Suite 204 Prairie Village KS 66207-2504 Ph: (913) 322-4235 |
| NPI Number | 1871760181 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 04/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871760181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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