Organization
JOHN A LARSEN, PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A. LARSEN PH.D. (PSYCHOLOGIST)
(913) 322-4235
Entity
Organization
Contact information
Practice address
5350 W 94TH TER, SUITE 204, PRAIRIE VILLAGE, KS 66207-2504
(913) 322-4235
(913) 322-4236
Mailing address
5350 W 94TH TER, SUITE 204, PRAIRIE VILLAGE, KS 66207-2504
(913) 322-4235
(913) 322-4236
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/15/2008
Last updated
04/15/2011
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