Individual
DR. ELIZABETH ANNE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
5000 S BROADBAND LN, SUITE 107, SIOUX FALLS, SD 57108-2260
(605) 275-2277
(605) 275-2279
Mailing address
5000 S BROADBAND LN, SUITE 107, SIOUX FALLS, SD 57108-2260
(605) 275-2277
(605) 275-2279
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SD424
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102709
HEALTH PARTNERS
—
01
—
22188
SIOUX VALLEY HEALTH PLAN
SD
01
—
455505000
MAGELLAN BEHAVIORAL HEALT
—
01
—
4905421
UNITED BEHAVIORAL HEALTH
—
01
—
4996486
BLUE CROSS BLUE SHIELD
SD
05
—
6551970
—
SD
01
—
7305
AVERA HEALTH PLANS
SD
01
—
9982
MIDLANDS CHOICE
—
Enumeration date
08/17/2006
Last updated
08/02/2013
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