DOUGLAS WAYNE LARSON

COLTON, CA
NPI1801011580
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY9281)
Enumeration Date2007-04-16
Last Update Date2007-07-08
Business Address
Dr. DOUGLAS WAYNE LARSON Ph.D.
1430 E COOLEY DR SUITE 209
COLTON, CA 92324-3934
Phone number: 909-798-8999
Mailing Address
Dr. DOUGLAS WAYNE LARSON Ph.D.
11454 GOLDEN GATE DR
YUCAIPA, CA 92399-9705
Phone number: 909-798-8999
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