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Individual
DR. LARRY EDWIN BURRELL II
Active
Individual
DR. LARRY EDWIN BURRELL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY31449
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY31449
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY31449
CA
103TC0700X
Clinical Psychologist
Primary
PSY31449
CA
103TH0004X
Health Psychologist
PSY31449
CA
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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