Costigan, Laurie

Costigan, Laurie is an individual health care provider with primary practice located at 19 Tacoma St , Worcester MA 01605-3516. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Costigan, Laurie can be contacted via phone (508) 852-1805.

Contact Information

Primary practice address
19 Tacoma St Worcester MA 01605-3516
Phone: (508) 852-1805
Fax: (508) 853-8593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4052 Massachusetts
Behavioral Health & Social Service Providers / Psychologist 103T00000X 9242 Massachusetts

Profile Details

NPI number 1689638991
LBN Legal business name Costigan, Laurie
Credentials PSY.D; LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Dec 20th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689638991 NPPES
Massachusetts MEDICAID 1301071

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