De La Torre Bueno, Laura Emily

De La Torre Bueno, Laura Emily is an individual health care provider with primary practice located at 21 Spring Hill Ter , Somerville MA 02143-1514. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. De La Torre Bueno, Laura Emily can be contacted via phone (617) 776-8679.

Contact Information

Primary practice address
21 Spring Hill Ter Somerville MA 02143-1514
Phone: (617) 776-8679
Fax: (617) 623-1234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6112 Massachusetts

Profile Details

NPI number 1760464085
LBN Legal business name De La Torre Bueno, Laura Emily
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760464085 NPPES
Massachusetts Other 0005781235 AETNA
Massachusetts Other V352G AETNA

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