Syvertson, Laura Jeanne

Syvertson, Laura Jeanne is an individual health care provider with primary practice located at 319 N Tioga , Ithaca NY 14850. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Syvertson, Laura Jeanne can be contacted via phone (607) 220-7319.

Contact Information

Primary practice address
319 N Tioga Ithaca NY 14850
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 097203-01 New York

Profile Details

NPI number 1295088979
LBN Legal business name Syvertson, Laura Jeanne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2012
Last updated Oct 3rd, 2025 - about last year

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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