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

Mary V Larsen, EDD

Individual provider Psychologist · NPI 1710065016

Mary V Larsen, EDD is a Clinical Psychologist in Ewing, New Jersey. Qualified in 1987, 39 years ago. Practices with Meditelecare of New Jersey LLC, a 5-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
39
Licensed in
NJ
In the registry since
2006
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

100 Charles Ewing Blvd
Ewing, NJ 08628-3454
Phone: (860) 788-6404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 35SI00319100 (NJ)

Record details

NPI number1710065016
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDD
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024
Mailing addressPo Box 1595, Middletown, CT 06457-8095

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Meditelecare Of New Jersey Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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