Olivos, Laura S

Olivos, Laura S is an individual health care provider with primary practice located at 975 Arthur Godfrey Rd Ste 303 , Miami Beach FL 33140-3342. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Olivos, Laura S can be contacted via phone (305) 792-8168.

Contact Information

Primary practice address
975 Arthur Godfrey Rd Ste 303 Miami Beach FL 33140-3342
Phone: (305) 792-8168
Fax: (305) 675-0689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY9816 Florida
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY9816 Florida

Profile Details

NPI number 1376943506
LBN Legal business name Olivos, Laura S
Credentials PSY. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2014
Last updated Mar 28th, 2024 - 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 1376943506 NPPES
Florida MEDICAID 021870400

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