Individual
STEPHANIE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 JUPITER LAKES BLVD STE 302A, JUPITER, FL 33458-7100
(561) 429-2397
Mailing address
345 JUPITER LAKES BLVD STE 302A, JUPITER, FL 33458-7100
(561) 429-2397
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8884
FL
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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