Larson, Justine Julia

Larson, Justine Julia is an individual health care provider with primary practice located at 8630 Fenton St. Suite 1200 Community Clinic, Inc., Silver Spring MD 20910. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Larson, Justine Julia can be contacted via phone (301) 585-1250.

Contact Information

Primary practice address
8630 Fenton St. Suite 1200 Community Clinic, Inc. Silver Spring MD 20910
Phone: (301) 585-1250
Fax: (301) 585-6289
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101249483 Virginia
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 0101249483 Virginia
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X D63655 Maryland

Profile Details

NPI number 1437286531
LBN Legal business name Larson, Justine Julia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Dec 9th, 2014 - about 12 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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