Jeffrey J Larson, PHD is a
Psychologist - Clinical based in Vashon, Washington. Jeffrey J Larson is licensed to practice in Washington (license number 1608) and his current practice location is
18623 Vashon Hwy Sw, Vashon, Washington. He can be reached at his office (for appointments etc.) via phone at
(206) 463-6359.
NPI number for Jeffrey J Larson is 1326179177 and his current mailing address is 11628 103rd Ave Sw, Vashon, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326179177.
Healthcare Provider's Profile
| Full Name | Jeffrey J Larson |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 18623 Vashon Hwy Sw, Vashon, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326179177
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jeffrey J Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326179177 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | 3718 (Washington) | Primary |
| 103TC0700X | Psychologist - Clinical | 1608 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeffrey J Larson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jeffrey J Larson, PHD
11628 103rd Ave Sw,
Vashon, WA 98070-3106
Ph: (206) 463-6359 | Jeffrey J Larson, PHD
18623 Vashon Hwy Sw,
Vashon, WA 98070-5211
Ph: (206) 463-6359 |
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