Individual
KRISTIN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
2930 E NORTHERN AVE STE A105, PHOENIX, AZ 85028-4844
(480) 694-0012
Mailing address
170 W CULLUMBER AVE APT 3031, GILBERT, AZ 85233-4915
(480) 694-0012
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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