Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth L. Larson, Ph D , Inc

Organization Clinical Psychologist · NPI 1609396183

Kenneth L. Larson, Ph D , Inc is a Clinical Psychologist in Roseville, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1891 E Roseville Pkwy Ste 100
Roseville, CA 95661-7974
Phone: (916) 789-7082
Fax: (916) 797-8840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY16221 (CA)

Record details

NPI number1609396183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Larson — President/Ceo · (916) 717-9368
NPI enumeratedJune 26, 2017
Last updated in NPPESJuly 21, 2022
Mailing address1891 E Roseville Pkwy Ste 100, Roseville, CA 95661-7974

Other providers in Roseville