BETH A LARSON (NPI# 1134259112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134259112 |
| Entity Type | Individual |
| Full Name | BETH A LARSON |
| Credential | LP (PSYCHOLOGIST) |
| Practice Address |
7225 Forestview Ln N Maple Grove MN 55369-5501 |
| Mailing Address |
4900 Russell Ave S Minneapolis MN 55410-1915 |
| Practice Telephone | 6128240974 |
| Mailing Telephone | 6128240974 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP3421 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144579640 | Beth A Larson | Counselor | 200 N 34th St, Norfolk, NE 68701-3197 | 2012-08-30 |
| 1689734865 | Beth Ann Larson | Occupational Therapist | 1454 30th Street, Suite 103, West Des Moines, IA 50266-1312 | 2006-12-11 |
| 1407969645 | Beth E Larson | Family Medicine | 2001 S Wiesbrook Rd, Wheaton, IL 60189 | 2006-08-15 |
| Street Address |
7225 FORESTVIEW LN N |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285636746 | Edward Jon Froehlich | Social Worker | 7225 Forestview Ln N, Maple Grove, MN 55369-5501 | 2005-08-15 |
| 1962759977 | Disney Counseling Resources, Pllc | Psychologist | 7225 Forestview Ln N, Maple Grove, MN 55369-5501 | 2012-08-08 |
| 1184988966 | Somers Psychological Services, P.a. | Community/Behavioral Health | 7225 Forestview Ln N, Maple Grove, MN 55369-5501 | 2012-06-27 |
| 1972802361 | Sally R Brinza Phd Lp LLC | Psychologist | 7225 Forestview Ln N, Maple Grove, MN 55369-5501 | 2011-03-24 |
| 1609017896 | Paivi Sinikka Lee | Marriage & Family Therapist | 7225 Forestview Ln N, Maple Grove, MN 55369-5501 | 2009-03-17 |
| 1023119914 | Sally Rose Brinza | Psychologist | 7225 Forestview Ln N, Maple Grove, MN 55369 | 2006-09-26 |
| 1730289901 | Bernard Alan Slutsky | Social Worker | 7225 Forestview Ln N, Maple Grove, MN 55369-5501 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790180503 | Iris Song | Psychologist | 7979 Ranchview Ln N, Maple Grove, MN 55311-2106 | 2014-10-23 |
| 1992940746 | Justin Coulter | Psychologist | 7236 Forestview Lane N., Maple Grove, MN 55369 | 2008-12-09 |
| 1578697173 | Marci Marie Mueller Theisen | Psychologist | 11280 86th Ave N, Maple Grove, MN 55369-4510 | 2007-03-15 |
| 1760532980 | Lynn M Powers | Psychologist | 12403 74th Av N, Maple Grove, MN 55369 | 2007-01-11 |
| 1942223714 | Marcia M Rogers | Psychologist | 7382 Kirkwood Ct, Maple Grove, MN 55369-5270 | 2006-07-25 |
| 1972955268 | Cindi Brockhaus | Psychologist | 13603 80th Cir N, Maple Grove, MN 55369 | 2016-07-11 |
| 1124490578 | Teresa Biehn | Psychologist | 9555 Upland Ln N, Maple Grove, MN 55369-4485 | 2015-10-26 |
| 1033585914 | Michaela Monetti | Psychologist | 14500 99th Ave N, Maple Grove, MN 55369-4730 | 2015-08-14 |
| 1326463944 | Heidi Kopacek | Psychologist | 11280 86th Ave N, Maple Grove, MN 55369-4510 | 2014-02-19 |
| 1124370358 | Elizabeth Anne Heidenreich | Psychologist | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2012-10-11 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on BETH A LARSON.
| 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.