Mary V Larsen, EDD
Psychologist in Ewing, New Jersey
1710065016- Practice location
- 100 Charles Ewing Blvd, Ewing, NJ 08628-3454
- Phone
- 860-788-6404
- Fax
- —
- Last updated
- May 31, 2024
Mary V Larsen is a Psychologist based in Ewing, NJ. Mary V Larsen practices in Ewing, NJ and has the professional credentials of EDD. The NPI Number for Mary V Larsen is 1710065016 and holds a License No. 35SI00319100 (NJ). The current practice location address for Mary V Larsen is 100 Charles Ewing Blvd, Ewing, NJ 08628-3454 and can be reached out via phone at 860-788-6404.
Provider Profile Details
- NPI Number
- 1710065016
- Provider Name
- Mary V Larsen
- Credential
- EDD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Charles Ewing Blvd, Ewing, NJ 08628-3454
- Phone Number
- 860-788-6404
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 2, 2006
- Last Update Date
- May 31, 2024
- Certification Date
- May 31, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Charles Ewing Blvd
Ewing, NJ 08628-3454 - City
- Ewing
- State
- New Jersey
- Zip
- 08628-3454
- Phone Number
- 860-788-6404
Provider Business Mailing Address Details
- Address
- Po Box 1595
Middletown, CT 06457-8095 - City
- Middletown
- State
- CT
- Zip
- 06457-8095
- Phone Number
- 860-788-6404
License Information
- License Number
- 35SI00319100
- License State
- NJ
- Taxonomy
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mary V Larsen, EDD?
The NPI number of Mary V Larsen, EDD is 1710065016. It was assigned on November 2, 2006 and is currently active in the NPPES registry.
What is the specialty of Mary V Larsen, EDD?
Mary V Larsen, EDD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 35SI00319100.
Where does Mary V Larsen, EDD practice?
The practice location is 100 Charles Ewing Blvd, Ewing, NJ 08628-3454. The office can be reached at 860-788-6404 (phone).
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 1710065016 directly on the NPPES registry website.