Individual
NOEL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., L.P., LMFT
Contact information
Practice address
821 RAYMOND AVE, SUITE 440, SAINT PAUL, MN 55114-1503
(651) 642-9317
Mailing address
821 RAYMOND AVE, SUITE 440, SAINT PAUL, MN 55114-1503
(651) 642-9317
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP0822
MN
103TC0700X
Clinical Psychologist
Primary
LP0822
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009939
PREFERRED ONE
MN
01
—
31B14ME
BLUE CROSS BLUE SHIELD
MN
01
—
31B15LA
BCBS INDIVIDUAL #
MN
01
—
61-91122
MEDICA
MN
01
—
HP18477
HEALTHPARTNERS
MN
01
—
PS1500
AMERICA'S PPO
MN
Enumeration date
12/16/2005
Last updated
09/11/2025
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