- Practice location
- 34 N Eldorado Ave, Bozeman, MT 59718-1229
- Phone
- 617-413-2328
- Fax
- 617-334-7845
- Last updated
- October 7, 2024
Kenneth A Larsen is a Psychologist, Clinical based in Bozeman, MT. Kenneth A Larsen practices in Bozeman, MT and has the professional credentials of DMIN, PHD, ABMP. The NPI Number for Kenneth A Larsen is 1053343707 and holds a License No. PSY2944MA (MA). The current practice location address for Kenneth A Larsen is 34 N Eldorado Ave, Bozeman, MT 59718-1229 and can be reached out via phone at 617-413-2328 and via fax at 617-334-7845.
Provider Profile Details
- NPI Number
- 1053343707
- Provider Name
- Kenneth A Larsen
- Credential
- DMIN, PHD, ABMP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 34 N Eldorado Ave, Bozeman, MT 59718-1229
- Phone Number
- 617-413-2328
- Fax Number
- 617-334-7845
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 6, 2006
- Last Update Date
- October 7, 2024
- Certification Date
- October 7, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 34 N Eldorado Ave
Bozeman, MT 59718-1229 - City
- Bozeman
- State
- Montana
- Zip
- 59718-1229
- Phone Number
- 617-413-2328
- Fax Number
- 617-334-7845
Provider Business Mailing Address Details
- Address
- 34 N Eldorado Ave
Bozeman, MT 59718-1229 - City
- Bozeman
- State
- MT
- Zip
- 59718-1229
- Phone Number
- 617-413-2328
- Fax Number
- 617-334-7845
License Information
- License Number
- PSY2944MA
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Kenneth A Larsen, DMIN, PHD, ABMP?
The NPI number of Dr. Kenneth A Larsen, DMIN, PHD, ABMP is 1053343707. It was assigned on July 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Kenneth A Larsen, DMIN, PHD, ABMP?
Dr. Kenneth A Larsen, DMIN, PHD, ABMP is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number PSY2944MA.
Where does Dr. Kenneth A Larsen, DMIN, PHD, ABMP practice?
The practice location is 34 N Eldorado Ave, Bozeman, MT 59718-1229. The office can be reached at 617-413-2328 (phone) or 617-334-7845 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053343707 directly on the NPPES registry website.