Individual
ADELE ANN LARSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7730 N UNION BLVD STE 105, COLORADO SPRINGS, CO 80920-4075
(719) 323-3094
(719) 266-1773
Mailing address
7730 N UNION BLVD STE 105, COLORADO SPRINGS, CO 80920-4075
(719) 323-3094
(719) 266-1773
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0005176
CO
103T00000X
Psychologist
Primary
PY61114401
WA
Other
Enumeration date
10/30/2019
Last updated
03/04/2021
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