Active NPIIndividual provider

Dr. Judith A Larsen, PHD

Psychologist, Clinical in South Boston, Massachusetts

NPI Number1629031570
Practice location
58 Old Colony Ave, South Boston, MA 02127-2406
Fax
617-268-1991
Last updated
July 13, 2026

Judith Anne Larsen is a Psychologist, Clinical based in South Boston, MA. Judith Anne Larsen practices in South Boston, MA and has the professional credentials of PHD. The NPI Number for Judith Anne Larsen is 1629031570 and holds a License No. 4567 (MA). The current practice location address for Judith Anne Larsen is 58 Old Colony Ave, South Boston, MA 02127-2406 and can be reached out via phone at 617-268-1700 and via fax at 617-268-1991.

Provider Profile Details

NPI Number
1629031570
Provider Name
Judith Anne Larsen
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
58 Old Colony Ave, South Boston, MA 02127-2406
Phone Number
617-268-1700
Fax Number
617-268-1991
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
April 11, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
58 Old Colony Ave
South Boston, MA 02127-2406
Zip
02127-2406
Phone Number
617-268-1700
Fax Number
617-268-1991
South Boston, MA 02127Get directions →

Provider Business Mailing Address Details

Address
159 Jason St
Arlington, MA 02476-8033
City
Arlington
State
MA
Zip
02476-8033
Phone Number
617-268-1700
Fax Number
617-268-1991

License Information

License Number
4567
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Judith A Larsen, PHD?

The NPI number of Dr. Judith A Larsen, PHD is 1629031570. It was assigned on April 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Judith A Larsen, PHD?

Dr. Judith A Larsen, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 4567.

Where does Dr. Judith A Larsen, PHD practice?

The practice location is 58 Old Colony Ave, South Boston, MA 02127-2406. The office can be reached at 617-268-1700 (phone) or 617-268-1991 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629031570 directly on the NPPES registry website.

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