Jennifer Leevonne Larson
Jennifer Leevonne Larson is a Psychiatry Physician in San Diego, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2012
- Specialties on file
- 3
Practice location Address checks out
8825 Aero Dr Ste 305San Diego, CA 92123-2270
Phone: (858) 571-1964
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Specialties & licences
| Child & Adolescent Psychiatry Physician (primary) | Taxonomy 2084P0804X · Licence A130546 (CA) |
|---|---|
| Psychiatry Physician | Taxonomy 2084P0800X · Licence A130546 (CA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1326305988 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 19, 2012 |
| Last updated in NPPES | September 13, 2024 |
| Certification date | September 13, 2024 |
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