| Doctor Name: | LAUREL EBERHART |
| NPI Number: | 1023081080 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 989354 |
| Business Practice Address: | 1719 Waterford Ln Fort Collins, CO - 805252930 |
| Business Phone Number: | 9702299041 |
| Business Fax Number: | |
| Mailing Address: | 2185 Broadway, DENVER |
| State: | CO |
| Postal Code: | 802052534 |
| Phone Number: | 3032962244 |
| Fax Number: | 3032961709 |
| NPI Enumeration Date: | 02/09/2006 |
| NPI Last Update Date: | 06/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 989354 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |