Larson, Leota I
Larson, Leota I is an individual health care provider with primary practice located at 17 S River Suite 254, Janesville WI 53548. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Larson, Leota I can be contacted via phone (608) 755-5260.Contact Information
Primary practice address
17 S River Suite 254
Janesville WI 53548
Phone: (608) 755-5260
Fax: (608) 755-5267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1808 | Wisconsin |
Profile Details
| NPI number | 1518903566 |
|---|---|
| LBN Legal business name | Larson, Leota I |
| Credentials | PHD LICENSE PSYCHOLO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Jul 20th, 2010 - about 16 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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