Costa, Laurie
Costa, Laurie is an individual health care provider with primary practice located at 20 Administration Rd , Bridgewater MA 02324-3230. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Costa, Laurie can be contacted via phone (508) 279-4500.Contact Information
Primary practice address
20 Administration Rd
Bridgewater MA 02324-3230
Phone: (508) 279-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 110973 | Massachusetts |
Profile Details
| NPI number | 1053408054 |
|---|---|
| LBN Legal business name | Costa, Laurie |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053408054 | NPPES |
| Massachusetts | MEDICAID | 1300989 |
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