Individual
DR. STEPHEN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018768-1
NY
103T00000X
Psychologist
PS1267
ME
103T00000X
Psychologist
TP1267
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433395199
—
ME
Enumeration date
03/27/2006
Last updated
01/07/2026
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