Individual
SCOTT WESLEY LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1151 DOVE ST STE 240, NEWPORT BEACH, CA 92660-2806
(949) 689-6047
(949) 223-4296
Mailing address
1151 DOVE ST STE 240, NEWPORT BEACH, CA 92660-2806
(949) 689-6047
(949) 223-4296
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY19684
CA
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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