MEDICARE: BETH A LARSON LP (PSYCHOLOGIST)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	LP3421	MN

General Provider Information

NPI Number	:	1134259112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH A LARSON LP (PSYCHOLOGIST)

Provider Business Mailing Address
First Line	:	4900 RUSSELL AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55410-1915
Country	:	US
Telephone Number	:	612-824-0974
Fax Number	:

Provider Business Practice Location Address
First Line	:	7225 FORESTVIEW LN N
Second Line	:
City	:	MAPLE GROVE
State	:	MN
Zip	:	55369-5501
Country	:	US
Telephone Number	:	612-824-0974
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1285636746 — MR. EDWARD JON FROEHLICH LICSW
Practice Location Address:

7225 FORESTVIEW LN N
MAPLE GROVE, MN
55369-5501

Practice Phone: 763-201-1093
Practice Fax: 763-201-1095

1730289901 — MR. BERNARD ALAN SLUTSKY M.A. LICSW
Practice Location Address:

7225 FORESTVIEW LN N
MAPLE GROVE, MN
55369-5501

Practice Phone: 763-541-8176
Practice Fax: 763-201-1095

1962598052 — DR. DOUGLAS SCOTT BROMAN DC
Practice Location Address:

7237 FORESTVIEW LANE N
MAPLE GROVE, MN
55369-5501

Practice Phone: 763-420-8595
Practice Fax: 763-420-2029

1871667444 — MR. ROSS ALEXANDER BERGFALK MT, CDP
Practice Location Address:

7237 FORESTVIEW LN N
MAPLE GROVE, MN
55369-5501

Practice Phone: 763-420-8595
Practice Fax:

1891860359 — BARBARA ELLEN O'BRIEN M.ED., LICSW,LAC,LPC
Practice Location Address:

7213 FORESTVIEW LN N
MAPLE GROVE, MN
55369-5501

Practice Phone: 763-201-1440
Practice Fax: 763-201-1439

1811053150 — MRS. MICHELE MARIE LANEY LMFT
Practice Location Address:

7236 FORESTVIEW LN N , SUITE 3205
MAPLE GROVE, MN
55369-5501

Practice Phone: 612-419-8461
Practice Fax: 763-425-6597

Directions to “ BETH A LARSON LP (PSYCHOLOGIST)” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.