Individual
DR. JESSICA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
501 9TH ST APT 511, HOBOKEN, NJ 07030-2187
(646) 498-0997
Mailing address
501 9TH ST APT 511, HOBOKEN, NJ 07030-2187
(646) 498-0997
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1261
OK
103TC0700X
Clinical Psychologist
21856
NY
103TC0700X
Clinical Psychologist
Primary
5659
NJ
Other
Enumeration date
04/21/2016
Last updated
05/10/2017
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