Locke, Laurie Benold

Locke, Laurie Benold is an individual health care provider with primary practice located at 404 W 9Th Street Suite 104, Georgetown TX 78626. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Locke, Laurie Benold can be contacted via phone (512) 868-0066.

Contact Information

Primary practice address
404 W 9Th Street Suite 104 Georgetown TX 78626
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 17951 Texas

Profile Details

NPI number 1831291756
LBN Legal business name Locke, Laurie Benold
Credentials MA LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1831291756 NPPES
Texas MEDICAID 1698615Q1

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