NPI 1083712301

William Walter Larsen, PHD

Practitioner Clinical Psychologist Grand Rapids, MN

Practice location

Address: 525 Itasca St, Grand Rapids, MN 55744-2965
Phone: (218) 327-2295
Fax: (218) 327-2295

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence LP0562 (MN)

Other Psychologist providers in Minnesota →

Registry record

NPI: 1083712301
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2006
Record last updated: 8 Jul 2007

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.