Individual
DR. STEVE MARK LARSEN
Active
Individual
DR. STEVE MARK LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36884
TX
103TC2200X
Clinical Child & Adolescent Psychologist
PY0466
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503261
—
NV
01
—
36884
STATE LICENSING BOARD
TX
Enumeration date
03/18/2006
Last updated
01/15/2016
Update your record
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