Smith, Laura Suzanne
Smith, Laura Suzanne is an sole proprietor health care provider with primary practice located at 1201 W 22Nd Street , Panama City FL 32405. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Smith, Laura Suzanne can be contacted via phone (850) 271-0804.Contact Information
Primary practice address
1201 W 22Nd Street
Panama City FL 32405
Phone: (850) 271-0804
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 811601600 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1811055882 |
|---|---|
| LBN Legal business name | Smith, Laura Suzanne |
| Credentials | BS - INFANT TODDLER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Oct 31st, 2012 - about 12 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 | 1811055882 | NPPES |
| Florida | MEDICAID | 811601600 |
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