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

Nicolette Larsen, MA

Individual provider Developmental Therapist · NPI 1639493794

Nicolette Larsen, MA is a Developmental Therapist in Northbrook, Illinois. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

255 Revere Dr
Northbrook, IL 60062-1564
Phone: (847) 412-4350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1639493794
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedMarch 18, 2010
Last updated in NPPESMarch 18, 2010

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