| Doctor Name: | LAURA M FAULKNER |
| NPI Number: | 1003188590 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW |
| License Number: | 34007154A |
| Business Practice Address: | 4001 John St Evansville, IN - 477140216 |
| Business Phone Number: | 8124733144 |
| Business Fax Number: | 8124227558 |
| Mailing Address: | 415 Mulberry St, EVANSVILLE |
| State: | IN |
| Postal Code: | 477131230 |
| Phone Number: | 8124237791 |
| Fax Number: | 8124227558 |
| NPI Enumeration Date: | 01/31/2012 |
| NPI Last Update Date: | 10/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 34007154A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |