Individual
ERIC LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-3522
(414) 384-2000
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0660
(414) 955-0076
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2808
WI
103TC0700X
Clinical Psychologist
2808
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071006762
—
IL
05
—
1386763902
—
WI
Enumeration date
03/28/2007
Last updated
12/09/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us