Middleton, Laura S

Middleton, Laura S is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1815. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Middleton, Laura S can be contacted via phone (937) 641-3401.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1815
Phone: (937) 641-3401
Fax: (937) 641-3066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071007242 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X PYT0107 Missouri
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY00003686 Washington
Behavioral Health & Social Service Providers / Health 103TH0004X PY00003686 Washington
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X P.6997 Ohio

Profile Details

NPI number 1073581781
LBN Legal business name Middleton, Laura S
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Oct 15th, 2023 - about last year

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 1073581781 NPPES
Ohio MEDICAID 0111221

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