Glenn J Larrabee Ph D PA
Clinical Neuropsychologist in Sarasota, FL. Organization (NPI-2).
NPI number1740497643
StatusActive
Last updated in NPPESFeb 29, 2008
Details
- NPI
- 1740497643
- Entity type
- Organization (NPI-2)
- Legal business name
- Glenn J Larrabee Ph D PA
- Organization subpart
- No
- Enumeration date
- May 17, 2007
- Last updated
- Feb 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY 3543 | FL | Yes |
| 103TC0700X | Psychologist, Clinical | PY3543 | FL | |
| 103TF0200X | Psychologist, Forensic | PY 3543 | FL |
Practice location
2650 Bahia Vista StSuite 308
Sarasota, FL 34239-2635
Phone 941-955-9596 · Fax 941-957-3485
Mailing address
2650 Bahia Vista StSuite 308
Sarasota, FL 34239-2635
Phone 941-955-9596 · Fax 941-957-3485
Authorized official
Glenn Joseph Larrabee
Owner
9419559596
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