Provider Demographics
NPI:1316963846
Name:LARKIN, VALERIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:
Last Name:LARKIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 MIMOSA CT
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-2508
Mailing Address - Country:US
Mailing Address - Phone:203-240-1258
Mailing Address - Fax:
Practice Address - Street 1:898 ETHAN ALLEN HWY
Practice Address - Street 2:SUITE 7
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-2813
Practice Address - Country:US
Practice Address - Phone:203-240-1258
Practice Address - Fax:203-431-7984
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2452103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT060002452CT03OtherANTHEM FOR RIDGEFIELD OFF
CT060002452CT02OtherANTHEM FOR BETHEL OFFICE
CT285276OtherMANAGED HEALTH NETWORK
CTP2897719OtherOXFORD HEALTH PLANS
CT61-73356OtherCONNECTICARE