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NPI Code Detail

MEDICARE: MS. JOYCE LARSEN LMFT

MEDICARE: MS. JOYCE LARSEN LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1184794547
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOYCE LARSEN LMFT
Provider Business Mailing Address
First Line : 3327 SNAKE RIVER DR
Second Line :
City : RENO
State : NV
Zip : 89503-1881
Country : US
Telephone Number : 775-746-8258
Fax Number :
Provider Business Practice Location Address
First Line : 2655 ENTERPRISE RD
Second Line :
City : RENO
State : NV
Zip : 89512-1666
Country : US
Telephone Number : 775-688-1600
Fax Number : 775-688-1616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2006
Last Update Date : 07/08/2007

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