Colleen Renee Larson, SCHOOL PSYCHOLOGY

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

11806 N 87TH Ave
Peoria, AZ 85345-8125

Phone

(623) 487-5189

NPI assigned

Mar 6, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1962672824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 ROCKHURST DR",
            "address_2": "UNIT C",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80129",
            "telephone_number": "303-618-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11806 N 87TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853458125",
            "telephone_number": "623-487-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "COLLEEN",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "SCHOOL PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M Langston, FNP-C
• Abby Langton, PA-C
• Maiya Lankford
• Daniel Louis Lara II, M.D.
• Agnes T Lardizabal, M.D.
• Tricia A. Latiolait, P.A.-C
• Austin Daniel Lau, DDS
• Laura Gonzales, M.a., L.P.C., N.C.C., P.L.L.C.
• Deborah Kay Laverty, MSN, NP-C
• Loren Alexandra Lawrence, FNP-C

• School Psychologist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• School Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.