Individual
OLIVIA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4635 W COLLEGE AVE, APPLETON, WI 54914-8507
(920) 750-7000
Mailing address
4635 W COLLEGE AVE, APPLETON, WI 54914-8507
(920) 750-7000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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