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Contact Information

MARGO ADAMS LARSEN, PhD
2534 17TH AVE S STE E
GRAND FORKS, ND58201-5215
 Phone: 701-885-4551
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARGO ADAMS LARSEN · (Female)

NPI # 1124128756
Status Active
Credentials PhD
Entity Individual
Enumeration date 09/24/2006
Last updated 01/19/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • ND License # 343
  • MN Medicaid 40263900
  • ND Medicaid 11920
  • MN Other 308J4LA BCBSMN
  • ND Other 21834 BCBSND
  • ND Other A005 TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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