Individual provider · Type 1 NPI
Gordon Lee Larsen, PH. D
Psychologist · Milwaukee, WI
Practice location
2600 N Mayfair Rd Ste 785
Milwaukee, WI 53226-1327
Fax (414) 258-8406
Mailing address
2600 N Mayfair Road, Suite 785
Milwaukee, WI 53226-1327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 50-057 (WI) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
2 other providers at this address
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About NPI 1750520524
Gordon Lee Larsen, PH. D's National Provider Identifier is 1750520524, issued on Feb 18, 2009. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Milwaukee, WI. The record was last updated on Feb 18, 2009.