SAMUEL W LARSON PH.D. - NPI 1699143677 - Psychologist in Nashville, TN

Q: What is Samuel Larson's NPI number?

The NPI number for Samuel Larson is 1699143677. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Q: What is Samuel Larson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Larson was last updated on February 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Samuel W Larson Ph.d. NPPES

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

SAMUEL W LARSON PH.D. (NPI 1699143677) is an individual clinical provider in Nashville, Tennessee, licensed in Tennessee (3698) and active in the NPI registry since September 2015. He maintains a secondary practice location in Brighton.

NPPES Registry Identity

NPI1699143677

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameSAMUEL W LARSONCredential: PH.D.

Location Address2200 21ST AVE S STE 300Nashville, TN 37212-4929

Mailing Address1819a Shackleford RdNashville, TN 37215-3525 · (773) 351-4913

Phone(615) 933-3571

Sole ProprietorYes

Enumeration DateSeptember 9, 2015

Last NPPES UpdateFebruary 11, 2020

✔ NPI 1699143677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TN · 3698

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X

2200 21ST AVE S STE 300, Nashville, TN 37212

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Secondary Practice Location 1

Location 130 Warren StBrighton, MA 02135-3602 · Phone (617) 254-3800 ext. 1261

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA MARX LPC-MHSP

Counselor (Mental Health)