Individual
MS. TOSHA L LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1000 W NIFONG BLVD BLDG 6, COLUMBIA, MO 65203-5615
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2015016435
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
840273
BLUE SHIELD
KS
Enumeration date
03/16/2007
Last updated
02/24/2025
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