Forsyth, Laura E.

Forsyth, Laura E. is an sole proprietor health care provider with primary practice located at 1601 Carmen Dr Ste. 211, Camarillo CA 93010-3105. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Forsyth, Laura E. can be contacted via phone (805) 795-2131.

Contact Information

Primary practice address
1601 Carmen Dr Ste. 211 Camarillo CA 93010-3105
Phone: (805) 795-2131
Fax: (805) 322-2103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY 17938 California

Profile Details

NPI number 1083699557
LBN Legal business name Forsyth, Laura E.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2005
Last updated Jan 23rd, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083699557 NPPES
California Other 11701672 CAQH
California Other OPL 179380 CAQH

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