Provider Demographics
NPI:1790817732
Name:LARSSON, KATHARINE M (PHD, RN, CS)
Entity Type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:M
Last Name:LARSSON
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Gender:F
Credentials:PHD, RN, CS
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Mailing Address - Street 1:1101 BEACON ST STE 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5587
Mailing Address - Country:US
Mailing Address - Phone:617-608-0061
Mailing Address - Fax:617-608-0061
Practice Address - Street 1:1101 BEACON ST STE 2
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5587
Practice Address - Country:US
Practice Address - Phone:617-608-0061
Practice Address - Fax:617-608-0061
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA181401364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health