Larson Psychology Services, Llc | |
2730 S 87th Ave Omaha NE 68124-3045 | |
(402) 331-8085 | |
Not Available |
Full Name | Larson Psychology Services, Llc |
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Speciality | Psychologist |
Location | 2730 S 87th Ave, Omaha, Nebraska |
Authorized Official Name and Position | Bridget Larson (OWNER) |
Authorized Official Contact | 4023318085 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Larson Psychology Services, Llc 2730 S 87th Ave Omaha NE 68124-3045 Ph: (402) 331-8085 | Larson Psychology Services, Llc 2730 S 87th Ave Omaha NE 68124-3045 Ph: (402) 331-8085 |
NPI Number | 1902454481 |
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Provider Enumeration Date | 08/28/2019 |
Last Update Date | 08/28/2019 |
Medicare PECOS PAC ID | 4587061429 |
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Medicare Enrollment ID | O20210921000325 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902454481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Bridget Anne Larson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1194036962 PECOS PAC ID: 5496152332 Enrollment ID: I20210921000462 |
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