| Organization Name: | NEUROPSYCH OF LOS ALTOS, A PSYCHOLOGY CORPORATION |
| NPI Number: | 1083718381 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOROTHY ANN LARSON (PRESIDENT) |
| Mailing Address: | 24044 Oak Knoll Cir Los Altos Hills |
| State: | CA US |
| Postal Code: | 940225100 |
| Phone Number: | 6509413002 |
| Fax Number: | |
| NPI Enumeration Date: | 09/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |