NPI 1053343707

Kenneth a Larsen, DMINPHDABMP

Practitioner Clinical Psychologist Bozeman, MT

Practice location

Address: 34 N Eldorado Ave, Bozeman, MT 59718-1229
Phone: (617) 413-2328
Fax: (617) 334-7845

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY2944MA (MA)

Other Psychologist providers in Montana →

Registry record

NPI: 1053343707
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2006
Record last updated: 7 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.