IndividualActive
Courtney Larsen
NPI 1720911399 · Clinical Child & Adolescent Psychologist · Wauwatosa, WI
Provider details
- NPI number
- 1720911399
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1250 N 113th St Ste 200
Wauwatosa, WI 53226-3209
Phone: (262) 432-6600
Approximate (ZIP-level) locationGet directions
Mailing address
809 Red Hawk Dr
Walworth, WI 53184-9707
Registry dates
- Enumerated
- 2026-06-04
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.