Individual
KAREN T LARSON
Active
Individual
KAREN T LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP0943
MN
103TC0700X
Clinical Psychologist
Primary
LP0943
MN
103TP2701X
Group Psychotherapy Psychologist
LP0943
MN
103TR0400X
Rehabilitation Psychologist
LP0943
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035053200
—
MN
01
—
167670
UCARE
—
01
—
6236955
UBH
—
01
—
6281912
MEDICA
—
01
—
6K899LA
BCBS MINNESOTA
—
01
—
963371008570
PREFERRED ONE
—
01
—
HP39217
HEALTHPARTNERS
—
01
—
MA6552110
SOUTH DAKOTA MA
—
Enumeration date
06/20/2006
Last updated
10/31/2024
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