Individual
LARSON SHOLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2610 W LIBERTY ST, ANN ARBOR, MI 48103-6560
(734) 707-7736
Mailing address
2610 W LIBERTY ST, ANN ARBOR, MI 48103-6560
(734) 707-7736
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6351004399
MI
103TC0700X
Clinical Psychologist
6301019137
MI
Other
Enumeration date
06/29/2018
Last updated
07/15/2022
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