DR. KENNETH A LARSEN DMIN PHD ABMP NPI 1053343707

NPI Information

  • NPI: 1053343707
  • Provider Name: DR. KENNETH A LARSEN, DMIN, PHD, ABMP
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 34 N ELDORADO AVE
    BOZEMAN, MT
    ZIP 59718
  • Phone: (617) 413-2328

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NPI Details

DR. Kenneth A Larsen, DMIN, PHD, ABMP is a clinical psychologist in Bozeman, MT with 46 years of experience. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Kenneth A Larsen, DMIN, PHD, ABMP NPI is 1053343707. 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:

34 N ELDORADO AVE
BOZEMAN, MT
ZIP 59718-229
Phone: (617) 413-2328
Fax: (617) 334-7845

The NPI 1053343707 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 10/7/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalPSY2944MAMASSACHUSETTSYes

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: 3/30/2025

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