Provider Demographics
NPI:1265316715
Name:STRASIL LARSON, ERIN BROOKE (EDS)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:BROOKE
Last Name:STRASIL LARSON
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:BROOKE
Other - Last Name:STRASIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8701 PACIFIC ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-5298
Mailing Address - Country:US
Mailing Address - Phone:402-343-2734
Mailing Address - Fax:
Practice Address - Street 1:8701 PACIFIC ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-5298
Practice Address - Country:US
Practice Address - Phone:402-343-2734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE20230003887103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool