Organization
LARSON COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA E LARSON PHD (PSYCHOLOGIST)
(402) 597-2308
Entity
Organization
Contact information
Practice address
11330 Q ST, OMAHA, NE 68137-3679
(402) 597-2308
(402) 502-2086
Mailing address
11330 Q ST, OMAHA, NE 68137-3679
(402) 597-2308
(402) 502-2086
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
494
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08371
BLUE CROSS BLUE SHIELD
NE
05
—
10025118700
—
NE
Enumeration date
01/19/2007
Last updated
08/22/2020
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