NPI 1316380736

Jennifer C Larson, PHD

Practitioner Clinical Neuropsychologist Ann Arbor, MI

Practice location

Address: 325 East Eisenhower Suite 300, Ann Arbor, MI 48108-5744
Phone: (734) 936-7052
Mailing address: 3621 South State Street 700 Kms Place, Ann Arbor, MI 48108

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 6301016395 (MI)

Other Clinical Neuropsychologist providers in Michigan →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Michigan →

Registry record

NPI: 1316380736
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2013
Record last updated: 11 Dec 2015

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.