Individual
DR. DANIEL LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
4455 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 355-2577
(563) 355-4015
Mailing address
4455 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 355-2577
(563) 355-4015
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.006477
IL
Other
Enumeration date
06/12/2012
Last updated
08/10/2021
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