Doctor Name: | STUART BRUCE LAIDLAW |
NPI Number: | 1043538952 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | L0403081058 |
Business Practice Address: | 1087 S Main St Salinas, CA - 939012323 |
Business Phone Number: | 8312377222 |
Business Fax Number: | 8314244997 |
Mailing Address: | 950 W Julian St, SAN JOSE |
State: | CA |
Postal Code: | 951262719 |
Phone Number: | 4082929353 |
Fax Number: | 4082873104 |
NPI Enumeration Date: | 05/17/2010 |
NPI Last Update Date: | 05/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | L0403081058 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |