Provider Demographics
NPI:1881575488
Name:LAROSA, THOMAS (SCHOOL PSYCHOLOGIST)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:LAROSA
Suffix:
Gender:M
Credentials:SCHOOL PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2906 ROYAL SEASONS DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-4053
Mailing Address - Country:US
Mailing Address - Phone:314-805-5457
Mailing Address - Fax:
Practice Address - Street 1:2906 ROYAL SEASONS DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-4053
Practice Address - Country:US
Practice Address - Phone:314-805-5457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool