Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Daniel Larson, EDD

Individual provider Psychologist · NPI 1093077398

Dr. Daniel Larson, EDD is a Clinical Psychologist in Davenport, Iowa. Qualified in 1996, 30 years ago. Practices with Genesis Health System, a 220-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
30
Licensed in
IL
In the registry since
2012
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

4455 E 56th St
Davenport, IA 52807-2995
Phone: (563) 355-2577
Fax: (563) 355-4015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 071.006477 (IL)

Record details

NPI number1093077398
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD
Sole proprietorYes
NPI enumeratedJune 12, 2012
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021
Mailing address4455 E 56th St, Davenport, IA 52807-2995

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Genesis Health System — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Davenport