Laweryson, Annie Nichole
Laweryson, Annie Nichole is an individual health care provider with primary practice located at 4115 S Meridian Ste D , Puyallup WA 98373-5972. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Laweryson, Annie Nichole can be contacted via phone (253) 528-3242.Contact Information
Primary practice address
4115 S Meridian Ste D
Puyallup WA 98373-5972
Phone: (253) 528-3242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY61123471 | Washington |
Profile Details
| NPI number | 1548798200 |
|---|---|
| LBN Legal business name | Laweryson, Annie Nichole |
| Credentials | PH.D., MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2017 |
| Last updated | May 25th, 2022 - about 3 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 | 1548798200 | NPPES |
| Washington | MEDICAID | 2160714 |
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