Mathisen, Laura

Mathisen, Laura is an sole proprietor health care provider with primary practice located at 3820 Misty Way , Destin FL 32541. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Mathisen, Laura can be contacted via phone (205) 586-1259.

Contact Information

Primary practice address
3820 Misty Way Destin FL 32541
Phone: (205) 586-1259
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1194032581
LBN Legal business name Mathisen, Laura
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2010
Last updated Feb 14th, 2014 - about 10 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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