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:
Health care specialties
Specialty | Code | License # | 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 9 months 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 | 1376943506 | NPPES |
Florida | MEDICAID | 021870400 |
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