Individual
EMMETT LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3227 BROADWAY, NEW YORK, NY 10027
(646) 502-5091
Mailing address
1080 BERGEN ST, BROOKLYN, NY 11216-3340
(646) 502-5091
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
027762
NY
Other
Enumeration date
04/12/2021
Last updated
12/11/2025
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