Larson, Kristin

Larson, Kristin is an individual health care provider with primary practice located at 2930 E Northern Ave Ste A105 , Phoenix AZ 85028-4844. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Larson, Kristin can be contacted via phone (480) 694-0012.

Contact Information

Primary practice address
2930 E Northern Ave Ste A105 Phoenix AZ 85028-4844
Phone: (480) 694-0012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X

Profile Details

NPI number 1427678143
LBN Legal business name Larson, Kristin
Credentials ED.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2020
Last updated Apr 22nd, 2020 - about 6 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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