Derr, Laura Seely
Derr, Laura Seely is an sole proprietor health care provider with primary practice located at 1017 Turnpike St. Suite 12C, Canton MA 02021-2847. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Derr, Laura Seely can be contacted via phone (781) 713-4707.Contact Information
Primary practice address
1017 Turnpike St. Suite 12C
Canton MA 02021-2847
Phone: (781) 713-4707
Fax: (781) 713-4708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6680 | Massachusetts |
Profile Details
| NPI number | 1285668400 |
|---|---|
| LBN Legal business name | Derr, Laura Seely |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Aug 10th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285668400 | NPPES |
| Massachusetts | Other | 798610 | TUFTS HMO |
| Massachusetts | Other | W05804 | TUFTS HMO |
| Massachusetts | MEDICAID | 0524069 | TUFTS HMO |
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