Provider Demographics
NPI:1487840658
Name:TAORMINA, LARRY (PH D)
Entity Type:Individual
Prefix:MR
First Name:LARRY
Middle Name:
Last Name:TAORMINA
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:896 DOGWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-4215
Mailing Address - Country:US
Mailing Address - Phone:408-656-6724
Mailing Address - Fax:
Practice Address - Street 1:1475 HUNTINGTON AVE
Practice Address - Street 2:150
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-5990
Practice Address - Country:US
Practice Address - Phone:650-246-3829
Practice Address - Fax:650-246-3838
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging