Individual
DR. ERIC LARSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.H.D, L.P.
Contact information
Practice address
2925 DEAN PKWY, SUITE 300, MINNEAPOLIS, MN 55416-4470
(612) 925-8365
(612) 925-8366
Mailing address
2925 DEAN PKWY, SUITE 300, MINNEAPOLIS, MN 55416-4470
(612) 925-8365
(612) 925-8366
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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