Individual
DR. ALEXANDER DANIEL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, PHD
Contact information
Practice address
3355 CHAD DR, EUGENE, OR 97408-7428
(541) 607-0897
Mailing address
24914 MOHR DR, HAYWARD, CA 94545-2376
(909) 635-8031
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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