Havstad, Laura Jean

Havstad, Laura Jean is an sole proprietor health care provider with primary practice located at 120 Pleasant Hill Ave N 370, Sebastopol CA 95472-3164. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Havstad, Laura Jean can be contacted via phone (707) 823-1848.

Contact Information

Primary practice address
120 Pleasant Hill Ave N 370 Sebastopol CA 95472-3164
Phone: (707) 823-1848
Fax: (707) 823-1848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY 6690 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 6690 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY 6690 California

Profile Details

NPI number 1801923396
LBN Legal business name Havstad, Laura Jean
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - about 19 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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