Larson, Jennifer Leevonne

Larson, Jennifer Leevonne is an sole proprietor health care provider with primary practice located at 8825 Aero Dr Ste 305 , San Diego CA 92123-2270. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Larson, Jennifer Leevonne can be contacted via phone (858) 571-1964.

Contact Information

Primary practice address
8825 Aero Dr Ste 305 San Diego CA 92123-2270
Phone: (858) 571-1964
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A130546 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X A130546 California

Profile Details

NPI number 1326305988
LBN Legal business name Larson, Jennifer Leevonne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2012
Last updated Sep 13th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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