Individual
DR. MARY LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1830 SHERMAN AVE, SUITE 304, EVANSTON, IL 60201-3798
(847) 866-6621
(847) 864-0948
Mailing address
1830 SHERMAN AVE, SUITE 304, EVANSTON, IL 60201-3798
(847) 866-6621
(847) 864-0948
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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