Paul Larson is a Waukesha, Wisconsin based psychiatrist who is specialized in Child & Adolescent. Active license number of Paul Larson is 39093 for Child & Adolescent in Wisconsin. His current practice location is 721 American Avenue Suite 501, Phc Behavioral Medicine Center, Waukesha. Patients can reach him at 262-928-2396 or can fax him at 262-544-1213. Paul Larson is M.D. in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1124091749. Paul Larson has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Paul Larson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Paul Larson
Specialization:
Child & Adolescent
Gender:
Male
Credentials:
M.D.
Practice Address:
721 American Avenue Suite 501, Phc Behavioral Medicine Center, Waukesha, Wisconsin, 53188
Phone:
262-928-2396
Fax:
262-544-1213
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1124091749
NPI Enumeration Date:
13 Feb, 2006
NPI Last Update On:
25 Apr, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Paul Larson are as mentioned below.
License Number
Specialization
State
Status
39093
Child & Adolescent
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Paul Larson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
34096900
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Paul Larson 721 American Avenue Suite 501, Phc Behavioral Medicine Center Waukesha, Wisconsin
Zip:
53188
Phone Number:
262-928-2396
Fax Number:
262-544-1213
Patients can reach Paul Larson at 721 American Avenue Suite 501, Phc Behavioral Medicine Center, Waukesha, Wisconsin or can call to book an appointment on 262-928-2396.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.