| Doctor Name: | MS. LAURA LEE BRONSTEIN |
| NPI Number: | 1053610592 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 0904007599 |
| Business Practice Address: | 6515 George Washington Mem Hwy Suite 100 Yorktown, VA - 236922182 |
| Business Phone Number: | 7578779140 |
| Business Fax Number: | 7578773925 |
| Mailing Address: | 101 Perrin Cir, SEAFORD |
| State: | VA |
| Postal Code: | 236962413 |
| Phone Number: | 7573698865 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2011 |
| NPI Last Update Date: | 03/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904007599 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |