Bourn, Laura

Bourn, Laura is an sole proprietor health care provider with primary practice located at 7504 Westport Rd , Louisville KY 40222-4108. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bourn, Laura can be contacted via phone (502) 262-2887.

Contact Information

Primary practice address
7504 Westport Rd Louisville KY 40222-4108
Phone: (502) 262-2887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4901 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 266047 Kentucky

Profile Details

NPI number 1710411244
LBN Legal business name Bourn, Laura
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2017
Last updated Dec 8th, 2020 - about 5 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 1710411244 NPPES
Kentucky MEDICAID 7100707410

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