Provider Demographics
NPI:1831686351
Name:VANHOOK, LARRY MATTHEW (MA, MDIV, DM, LMFT)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:MATTHEW
Last Name:VANHOOK
Suffix:
Gender:M
Credentials:MA, MDIV, DM, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11202 DISCO
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-2860
Mailing Address - Country:US
Mailing Address - Phone:210-495-2797
Mailing Address - Fax:
Practice Address - Street 1:11202 DISCO
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-2860
Practice Address - Country:US
Practice Address - Phone:210-495-2797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist