Individual
KYMBERLY LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2100 MANCHESTER RD, SUITE 1510, WHEATON, IL 60187-4579
(630) 653-1717
(630) 653-9691
Mailing address
2100 MANCHESTER RD, SUITE 1510, WHEATON, IL 60187-4579
(630) 653-1717
(630) 653-9691
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071.008752
IL
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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