Individual
DR. KARYN LARSON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 1ST AVE NE STE 210, ROCHESTER, MN 55906-4170
(507) 288-5629
Mailing address
1500 1ST AVE NE STE 210, ROCHESTER, MN 55906-4170
(507) 288-5629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TF0000X
Family Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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