# DR. MARGO ADAMS LARSEN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1124128756
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | 343 | ND | — |
| 103T00000X | Psychologist | 343 | ND | Yes |
| 103TB0200X | Cognitive & Behavioral Psychologist | 343 | ND | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 343 | ND | — |
| 103TH0100X | Health Service Psychologist | 343 | ND | — |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | 343 | ND | — |

## Other

- **Enumeration date:** 09/24/2006
- **Last updated:** 01/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 11920 | — | ND |
| 01 | — | 21834 | BCBSND | ND |
| 01 | — | 308J4LA | BCBSMN | MN |
| 05 | — | 40263900 | — | MN |
| 01 | — | A005 | TRICARE | ND |