Individual provider · Type 1 NPI

Mary Larson, PSY.D.

Clinical Psychologist · Evanston, IL

NPI number 1114030574 Active

Practice location

1830 Sherman Ave, Suite 304
Evanston, IL 60201-3798

Fax (847) 864-0948

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1114030574

Mary Larson, PSY.D.'s National Provider Identifier is 1114030574, issued on Aug 17, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Evanston, IL. The record was last updated on Jul 8, 2007.