Active NPIIndividual provider

Dr. Stacey Larson, PSYD

Psychologist, Clinical in Holliston, Massachusetts

NPI Number1851800106
Practice location
69 Baker Street, Holliston, MA 01746
Fax
—
Last updated
October 10, 2017

Stacey Larson is a Psychologist, Clinical based in Holliston, MA. Stacey Larson practices in Holliston, MA and has the professional credentials of PSYD. The NPI Number for Stacey Larson is 1851800106 and holds a License No. 05567 (MD). The current practice location address for Stacey Larson is 69 Baker Street, Holliston, MA 01746 and can be reached out via phone at 302-545-0246.

Provider Profile Details

NPI Number
1851800106
Provider Name
Stacey Larson
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
69 Baker Street, Holliston, MA 01746
Phone Number
302-545-0246
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
September 28, 2017
Last Update Date
October 10, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
69 Baker Street
Holliston, MA 01746
Zip
01746
Phone Number
302-545-0246
Holliston, MA 01746Get directions →

Provider Business Mailing Address Details

Address
69 Baker St
Holliston, MA 01746-1301
City
Holliston
State
MA
Zip
01746-1301

License Information

License Number (1)
05567
License State (1)
MD
Taxonomy (1)
Psychologist, Forensic · 103TF0200X
License Number (2)
05567
License State (2)
MD
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · 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. Stacey Larson, PSYD?

The NPI number of Dr. Stacey Larson, PSYD is 1851800106. It was assigned on September 28, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Stacey Larson, PSYD?

Dr. Stacey Larson, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MD under license number 05567.

Where does Dr. Stacey Larson, PSYD practice?

The practice location is 69 Baker Street, Holliston, MA 01746. The office can be reached at 302-545-0246 (phone).

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 1851800106 directly on the NPPES registry website.

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