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DR. GORDON LEE LARSEN PH. D NPI 1750520524


NPI Information

NPI: 1750520524
Provider Name: DR. GORDON LEE LARSEN, PH. D
Classification: Psychologist - 103T00000X
Entity Type: Individual
Address:
2600 N MAYFAIR RD STE 785
MILWAUKEE, WI
ZIP 53226
Phone: (414) 258-5704
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DR. Gordon Lee Larsen, PH. D is a psychologist in Milwaukee, WI. The provider is 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 adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. DR. Gordon Lee Larsen, PH. D NPI is 1750520524. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2600 N MAYFAIR RD STE 785
MILWAUKEE, WI
ZIP 53226-327
Phone: (414) 258-5704
Fax: (414) 258-8406

The enumeration date for this NPI number is 2/18/2009 and was last updated on 2/18/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist50-057WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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