Individual
NATHANAEL M LARSEN
Active
Individual
NATHANAEL M LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2878
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010714
PREFERREDONE
MN
01
—
116689
UCARE MINNESOTA
MN
01
—
57399LA
MN BLUE CROSS BLUE SHIELD
MN
01
—
62-20513
UNITED BEHAVIOR HEALTH
MN
01
—
HP23070
HEALTHPARTNER
MN
Enumeration date
05/27/2006
Last updated
07/13/2026
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