Organization
LARA LARSON, LSW, PSYD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARA LARSON LSW, PSYD (PSYCHOLOGIST)
(808) 383-8713
Entity
Organization
Contact information
Practice address
1221 KAPIOLANI BLVD, PH38, HONOLULU, HI 96814-3503
(808) 383-1785
Mailing address
500 UNIVERSITY AVE, APT. 136, HONOLULU, HI 96826-4904
(808) 383-8713
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY 1372
HI
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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