| Doctor Name: | DR. LAURA ANNE VAN SCHAICK-HARMAN |
| NPI Number: | 1013202944 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 019611 |
| Business Practice Address: | 450 Waverly Ave Building 4 Suite 11 Patchogue, NY - 117721555 |
| Business Phone Number: | 6314849679 |
| Business Fax Number: | 8889724072 |
| Mailing Address: | 450 Waverly Ave, Building 4 Suite 11 PATCHOGUE |
| State: | NY |
| Postal Code: | 117721555 |
| Phone Number: | 6314849679 |
| Fax Number: | 8889724072 |
| NPI Enumeration Date: | 06/20/2011 |
| NPI Last Update Date: | 11/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 019611 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |