Doctor Name: | MS. LAURA L. HUOT |
NPI Number: | 1023137445 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LLP |
License Number: | 6301010695 |
Business Practice Address: | 13101 Allen Rd Southgate, MI - 481952216 |
Business Phone Number: | 7347857704 |
Business Fax Number: | 7342874192 |
Mailing Address: | 24709 Ross St, DEARBORN |
State: | MI |
Postal Code: | 481243146 |
Phone Number: | 3132741623 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301010695 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |