Jennifer Rebekah Larson, PHD is a
Clinical Neuropsychologist based in Raleigh, North Carolina. Jennifer Rebekah Larson is licensed to practice in North Carolina (license number 2648) and her current practice location is
8406 Six Forks Rd Ste 101, Raleigh, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 473-6451.
NPI number for Jennifer Rebekah Larson is 1487665584 and her current mailing address is 8406 Six Forks Rd Ste 101, Raleigh, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487665584.
Healthcare Provider's Profile
Full Name | Jennifer Rebekah Larson |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 8406 Six Forks Rd Ste 101, Raleigh, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487665584
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 10/15/2019
Medical Identifiers
Medical identifiers for Jennifer Rebekah Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487665584 | NPI | - | NPPES |
045GA | Other | NC | BCBS |
6000216 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 2648 (North Carolina) | Secondary |
103G00000X | Clinical Neuropsychologist | 2648 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Rebekah Larson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Rebekah Larson, PHD 8406 Six Forks Rd Ste 101, Raleigh, NC 27615-3075 Ph: (919) 473-6451 | Jennifer Rebekah Larson, PHD 8406 Six Forks Rd Ste 101, Raleigh, NC 27615-3075 Ph: (919) 473-6451 |
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