Organization
LARSON PSYCHOLOGICAL SERVICES, LLC
Active
Other names
Molly Larson, Ph.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOLLY LARSON PH.D. (CLINICAL PSYCHOLOGIST)
(321) 327-3793
Entity
Organization
Contact information
Practice address
122 4TH AVE, SUITE 200, INDIALANTIC, FL 32903-3112
(321) 327-3793
Mailing address
122 4TH AVE, SUITE 200, INDIALANTIC, FL 32903-3112
(321) 327-3793
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9437
FL
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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