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

Dr. Larry Kenneth Hetrick Jr., MD

Individual provider Psychiatry Physician · NPI 1962535419

Dr. Larry Kenneth Hetrick Jr., MD is a Psychiatry Physician in Novato, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

606 Wilson Ave
Novato, CA 94947-3817
Phone: (415) 567-0321
Fax: (415) 647-0321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence G078733 (CA)

Record details

NPI number1962535419
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 13, 2007
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022

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