| Doctor Name: | MS. LAURA E PAGE |
| NPI Number: | 1043393614 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW LICSW |
| License Number: | 1025910 |
| Business Practice Address: | 54 Wendell Ave Ste 1 Pittsfield, MA - 012016328 |
| Business Phone Number: | 4134420877 |
| Business Fax Number: | 4134993974 |
| Mailing Address: | 54 Wendell Ave, Suite 1 PITTSFIELD |
| State: | MA |
| Postal Code: | 01201 |
| Phone Number: | 4134420877 |
| Fax Number: | 4134420833 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 02/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1025910 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |