Active NPIIndividual providerSole proprietor

Dr. Jerry Larke, PHD

Psychologist in Marshfield, Massachusetts

NPI Number1679684849
Practice location
2016 Ocean St, Marshfield, MA 02050-3115
Fax
781-837-3111
Last updated
July 8, 2007

Jerry Larke is a Psychologist based in Marshfield, MA. Jerry Larke practices in Marshfield, MA and has the professional credentials of PHD. The NPI Number for Jerry Larke is 1679684849 and holds a License No. 601 (MA). The current practice location address for Jerry Larke is 2016 Ocean St, Marshfield, MA 02050-3115 and can be reached out via phone at 781-834-0390 and via fax at 781-837-3111.

Provider Profile Details

NPI Number
1679684849
Provider Name
Jerry Larke
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2016 Ocean St, Marshfield, MA 02050-3115
Phone Number
781-834-0390
Fax Number
781-837-3111
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 31, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2016 Ocean St
Marshfield, MA 02050-3115
Zip
02050-3115
Phone Number
781-834-0390
Fax Number
781-837-3111
Marshfield, MA 02050Get directions →

Provider Business Mailing Address Details

Address
2016 Ocean St
Marshfield, MA 02050-3115
City
Marshfield
State
MA
Zip
02050-3115
Phone Number
781-834-0390
Fax Number
781-837-3111

License Information

License Number
601
License State
MA
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Jerry Larke, PHD?

The NPI number of Dr. Jerry Larke, PHD is 1679684849. It was assigned on August 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jerry Larke, PHD?

Dr. Jerry Larke, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 601.

Where does Dr. Jerry Larke, PHD practice?

The practice location is 2016 Ocean St, Marshfield, MA 02050-3115. The office can be reached at 781-834-0390 (phone) or 781-837-3111 (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 1679684849 directly on the NPPES registry website.

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