Kidd, Laura

Kidd, Laura is an individual health care provider with primary practice located at 3445 S Main St , Coventry Township OH 44319. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Kidd, Laura can be contacted via phone (330) 644-4095.

Contact Information

Primary practice address
3445 S Main St Coventry Township OH 44319
Phone: (330) 644-4095
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 944030 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X E.0002371-SUPV Ohio

Profile Details

NPI number 1144537408
LBN Legal business name Kidd, Laura
Credentials MA ED., LPCC/LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2010
Last updated Nov 21st, 2019 - 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 1144537408 NPPES
Ohio MEDICAID 0164022

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