Waters, Laura Leacie Wilson

Waters, Laura Leacie Wilson is an sole proprietor health care provider with primary practice located at 2550 E Foothill Blvd , Pasadena CA 91107-3406. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Waters, Laura Leacie Wilson can be contacted via phone (626) 744-5230.

Contact Information

Primary practice address
2550 E Foothill Blvd Pasadena CA 91107-3406
Phone: (626) 744-5230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 31585 California

Profile Details

NPI number 1013322965
LBN Legal business name Waters, Laura Leacie Wilson
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2014
Last updated Sep 15th, 2022 - about 4 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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