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Individual
ROBERT DOUGLAS LARSON
Active
Individual
ROBERT DOUGLAS LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30603
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2010
Last updated
07/16/2019
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