White, Laurie A

White, Laurie A is an sole proprietor health care provider with primary practice located at 32 Stacy Dr , Port Jefferson Station NY 11776-3162. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. White, Laurie A can be contacted via phone (631) 331-1145.

Contact Information

Primary practice address
32 Stacy Dr Port Jefferson Station NY 11776-3162
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1285006239 New York

Profile Details

NPI number 1285006239
LBN Legal business name White, Laurie A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2015
Last updated Dec 21st, 2015 - about 11 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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