GREGORY RICHARD LARSON

SAN LEANDRO, CA
NPI1174730618
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY11781)
Enumeration Date2007-05-16
Last Update Date2007-07-09
Business Address
-- GREGORY RICHARD LARSON Ph.D.
333 ESTUDILLO AVE #207
SAN LEANDRO, CA 94577-4717
Phone number: 510-541-2983
Mailing Address
-- GREGORY RICHARD LARSON Ph.D.
785 BATES AVE
EL CERRITO, CA 94530-2706
Phone number: 510-541-2983
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