Provider Demographics
NPI:1992014633
Name:KUHN, LARRY (PSYD, HSPP)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:
Last Name:KUHN
Suffix:
Gender:M
Credentials:PSYD, HSPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5361 N 700 E
Mailing Address - Street 2:
Mailing Address - City:CHURUBUSCO
Mailing Address - State:IN
Mailing Address - Zip Code:46723-9323
Mailing Address - Country:US
Mailing Address - Phone:949-275-8804
Mailing Address - Fax:
Practice Address - Street 1:5361 N 700 E
Practice Address - Street 2:
Practice Address - City:CHURUBUSCO
Practice Address - State:IN
Practice Address - Zip Code:46723-9323
Practice Address - Country:US
Practice Address - Phone:949-275-8804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY24067103TC0700X
IN20042828A103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN941450031Medicare UPIN