Laura Middleton PH.D.

NPI 1073581781 - Psychologist - 103TC2200X

NPI Details
NPI 1073581781
Gender Female
Enumeration Date 03/09/2006
Last Updated 07/23/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1669 WINDHAM WAY
SUITE B
O FALLON IL, 62269-3072, US
Phone (618) 622-2579
Fax (618) 624-8506
Business Location
18 LAUREL HEIGHTS CT
O FALLON IL, 62269-3170, US
Phone (253) 359-8766
Fax
Toxanomy
Taxonomy Code 103TC2200X
License State Washington
License Number PY00003686
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According to our database, Dr. Laura Middleton PH.D. NPI is 1073581781, taxonomy code is 103TC2200X and license number is PY00003686, license state is located at Washington. Laura Middleton PH.D. physically located at 1669 Windham Way, O Fallon IL, 62269-3072. NPI Number Laura Middleton PH.D. has the Individual type.

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1073581781 NPI number is provided on an as is basis without warranty of any kind. 1073581781 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Middleton PH.D. are for informational purposes only.