Larson, Samuel W

Larson, Samuel W is an sole proprietor health care provider with primary practice located at 2200 21St Ave S Ste 300 , Nashville TN 37212-4929. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Larson, Samuel W can be contacted via phone (615) 933-3571.

Contact Information

Primary practice address
2200 21St Ave S Ste 300 Nashville TN 37212-4929
Phone: (615) 933-3571
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3698 Tennessee

Profile Details

NPI number 1699143677
LBN Legal business name Larson, Samuel W
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2015
Last updated Feb 11th, 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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