MS. COLLEEN RENEE LARSON (NPI# 1962672824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962672824 |
| Entity Type | Individual |
| Full Name | MS. COLLEEN RENEE LARSON |
| Credential | SCHOOL PSYCHOLOGY |
| Practice Address |
11806 N 87th Ave Peoria AZ 85345-8125 |
| Mailing Address |
908 Rockhurst Dr Unit C Highlands Ranch CO 80129 |
| Practice Telephone | 6234875189 |
| Mailing Telephone | 3036183843 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2020-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659818961 | Colleen Larson | Behavioral Analyst | 7729 32nd Ave Ne, Seattle, WA 98115-4737 | 2017-01-24 |
| 1508013392 | Colleen M Larson | Registered Nurse | 2624 9th Ave S, Fargo, ND 58103-2350 | 2008-08-22 |
| Street Address |
11806 N 87TH AVE |
| City | PEORIA |
| State | AZ |
| Zip Code | 85345-8125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992830244 | Misty Ann Mason | Speech-Language Pathologist | 11806 N 87th Ave, Peoria, AZ 85345-8125 | 2007-02-23 |
| 1548448889 | Angela Figueroa | Occupational Therapist | 11806 N 87th Ave, Peoria, AZ 85345-8125 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1528604923 | Maricopa County Special Health Care District | Clinic/Center | 8088 West Whitney Dr., Peoria, AZ 85345 | 2019-11-20 |
| 1578057378 | Marigold Home Care LLC | In Home Supportive Care | 8917 N 90th Ave, Peoria, AZ 85345 | 2018-06-15 |
| 1518341551 | Recovery Innovations, Inc | Respite Care | 11361 N 99th Avenue, Suite 107, Peoria, AZ 85345 | 2015-07-18 |
| 1952655110 | Pmc Pain Management Center Pllc | Clinic/Center | 8914 N.91 Ave, Peoria, AZ 85345 | 2012-11-08 |
| 1831462993 | Mary Kate Burdick | Veterinarian | 9960 N 91st Ave, Peoria, AZ 85345 | 2012-02-20 |
| 1144545120 | Lawrence William Wolfe | Pharmacist | 9043 W. Olive Ave., Fry's Food and Drug, Peoria, AZ 85345 | 2010-04-01 |
| 1306169917 | Katherine Thompson Hinkle | Pharmacist | 7455 West Cactus, Frys Food and Drug, Peoria, AZ 85345 | 2010-03-10 |
| 1033307715 | American Current Care of Arizona Pa | Clinic/Center | 7400 West Olive Avenue, Suite 1, Peoria, AZ 85345 | 2007-10-09 |
| 1184746802 | Assisted Living Concepts Inc | Assisted Living Facility | 10401 North 79th Avenue, Peoria, AZ 85345 | 2007-04-04 |
| Find all providers in zip 85345 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299133 | Chloe Arns | Psychologist | 16484 N 68th Ave, Peoria, AZ 85382-3981 | 2020-06-10 |
| 1437677754 | Karen Rose Conlon | Psychologist | 3617 W Tedford Dr, Peoria, IL 61614-8145 | 2017-09-07 |
| 1518485838 | Brenna Michelle Pardieck | Psychologist | 3700 W Chartwell Rd, Peoria, IL 61614-8151 | 2017-09-07 |
| 1285913434 | Kahlil Amber Day | Psychologist | 11501 N 79th Ave, Peoria, AZ 85345-1358 | 2011-08-05 |
| 1396024543 | Damon Lorenz | Psychologist | 21180 N 87th Ave, Peoria, AZ 85382-6497 | 2011-08-05 |
| 1760646087 | Holly J Curran | Psychologist | 6726 W Bloomfield Rd, Peoria, AZ 85381-9590 | 2008-07-16 |
| 1083811020 | June H Mcculley | Psychologist | 19900 N 94th Ave, Peoria, AZ 85382-2214 | 2007-07-02 |
| 1093920365 | Lauren B Coe | Psychologist | 14300 N 83rd Ave, Apt 2021, Peoria, AZ 85381-4624 | 2007-05-11 |
| 1386768620 | Mark A Bean | Psychologist | 26751 N 97th Ln, Peoria, AZ 85383-2929 | 2007-03-19 |
| 1518098813 | Felicia Anne Humenik | Psychologist | 8633 W John Cabot Rd, Peoria, AZ 85382-0879 | 2007-03-08 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.