Individual
DR. ESSIE M LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
175 CEDAR LN, SUITE #8, TEANECK, NJ 07666-4315
(201) 888-7135
Mailing address
175 CEDAR LN, SUITE #8, TEANECK, NJ 07666-4315
(201) 888-7135
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
016952
NY
103TC0700X
Clinical Psychologist
Primary
35SI00453900
NJ
Other
Enumeration date
01/08/2007
Last updated
10/16/2012
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