Stanley, Laurel Virginia

Stanley, Laurel Virginia is an sole proprietor health care provider with primary practice located at 2656 W State St Suite 511, Olean NY 14760-1871. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stanley, Laurel Virginia can be contacted via phone (716) 372-4123.

Contact Information

Primary practice address
2656 W State St Suite 511 Olean NY 14760-1871
Fax: (716) 372-4123
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R060193-1 New York

Profile Details

NPI number 1760474324
LBN Legal business name Stanley, Laurel Virginia
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2005
Last updated Aug 2nd, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760474324 NPPES
New York Other 00025419101 UNIVERA
New York Other 00525904001 UNIVERA
New York Other 6290304 UNIVERA
New York Other 230175000 UNIVERA

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