Organization
GLENN J LARRABEE PH D PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN JOSEPH LARRABEE (OWNER)
(941) 955-9596
Entity
Organization
Contact information
Practice address
2650 BAHIA VISTA ST, SUITE 308, SARASOTA, FL 34239-2635
(941) 955-9596
(941) 957-3485
Mailing address
2650 BAHIA VISTA ST, SUITE 308, SARASOTA, FL 34239-2635
(941) 955-9596
(941) 957-3485
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY 3543
FL
103TC0700X
Clinical Psychologist
PY3543
FL
103TF0200X
Forensic Psychologist
PY 3543
FL
Other
Enumeration date
05/17/2007
Last updated
02/29/2008
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