Individual
ANTHONY T LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
180 10TH ST SE STE 201, LE MARS, IA 51031-2557
(712) 546-4624
Mailing address
1399 RYDER CUP CT, LE MARS, IA 51031-6200
(712) 541-6132
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001248
IA
Other
Enumeration date
11/15/2011
Last updated
10/19/2022
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