IndividualActive
Daniel Larson, ED.D.
NPI 1093077398 · Psychologist · Davenport, IA
Provider details
- NPI number
- 1093077398
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- ED.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 071.006477 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4455 E 56th St
Davenport, IA 52807-2995
Phone: (563) 355-2577
Fax: (563) 355-4015
Approximate (ZIP-level) locationGet directions
Mailing address
4455 E 56th St
Davenport, IA 52807-2995
Registry dates
- Enumerated
- 2012-06-12
- Last updated
- 2021-08-10
- Certified
- 2021-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.