Individual
DR. KENNETH A LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMIN, PHD, ABMP
Contact information
Practice address
34 N ELDORADO AVE, BOZEMAN, MT 59718-1229
(617) 413-2328
(617) 334-7845
Mailing address
34 N ELDORADO AVE, BOZEMAN, MT 59718-1229
(617) 413-2328
(617) 334-7845
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY2944MA
MA
Other
Enumeration date
07/06/2006
Last updated
10/07/2024
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