Doctor Name: | LAURIE B KAUFMAN |
NPI Number: | 1073648572 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MASTERS |
License Number: | |
Business Practice Address: | 95 West St Walpole, MA - 020811819 |
Business Phone Number: | 7814371323 |
Business Fax Number: | |
Mailing Address: | 346 Concord Ave, CAMBRIDGE |
State: | MA |
Postal Code: | 021381210 |
Phone Number: | 7814371323 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |