JENNIFER REBEKAH LARSON PHD
NPI 1487665584
Clinical Neuropsychologist in Raleigh, NC

Active since August 11, 2006
8406 SIX FORKS RD STE 101, RALEIGH, NC 27615(919) 473-6451(844) 584-4207 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Rebekah Larson Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER REBEKAH LARSON PHD (NPI 1487665584) is an individual clinical neuropsychologist in Raleigh, North Carolina, licensed in North Carolina (2648) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1487665584
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameJENNIFER REBEKAH LARSONCredential: PHD
Location Address8406 SIX FORKS RD STE 101Raleigh, NC 27615-3075
Mailing Address8406 Six Forks Rd Ste 101Raleigh, NC 27615-3075 · (919) 473-6451 · Fax (844) 584-4207
Fax(844) 584-4207
Sole ProprietorYes
Enumeration DateAugust 11, 2006
Last NPPES UpdateOctober 15, 2019
NPI 1487665584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in NC · 2648
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 2648 (NC)
8406 SIX FORKS RD STE 101, Raleigh, NC 27615

Other Names 1

Former Name (1)Jennifer Rebekah Hiemenz Phd

Other Identifiers 2

Other045GANC · Bcbs
Medicaid6000216NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Larson's NPI number?

The NPI number for Jennifer Larson is 1487665584. It was assigned to this individual provider in the NPPES registry on August 11, 2006. The provider is also known as Jennifer Rebekah Hiemenz Phd.

Where is Jennifer Larson located?

Jennifer Larson practices at 8406 Six Forks Rd Ste 101, Raleigh, NC 27615. The listed phone number is (919) 473-6451.

What is Jennifer Larson's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Larson was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.