Individual
DR. ERIC LARSSON
Active
Individual
DR. ERIC LARSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.H.D, L.P.
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LP1531
MN
103TC0700X
Clinical Psychologist
LP1531
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0638K3LA
BCBS OF MN
MN
05
—
688548900
—
MN
Enumeration date
11/02/2006
Last updated
04/12/2016
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