Individual
THOMAS A LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 RIVERSIDE AVE, F196, MINNEAPOLIS, MN 55454-1512
(612) 672-2130
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0169
MN
Other
Enumeration date
07/03/2006
Last updated
05/21/2008
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