Smith, Laurie S

Smith, Laurie S is an individual health care provider with primary practice located at 7617 Mineral Point Rd Ste 300, Madison WI 53717-1623. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Smith, Laurie S can be contacted via phone (608) 833-9290.

Contact Information

Primary practice address
7617 Mineral Point Rd Ste 300 Madison WI 53717-1623
Phone: (608) 833-9290
Fax: (608) 833-9691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1632-057 Wisconsin
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1632-57 Wisconsin

Profile Details

NPI number 1174566285
LBN Legal business name Smith, Laurie S
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jan 19th, 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 1174566285 NPPES
Wisconsin Other 13344 DEAN CARE
Wisconsin MEDICAID 39199900 DEAN CARE
Wisconsin Other 002584027 DEAN CARE

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