Doctor Name: | LAURIE MCBREEN |
NPI Number: | 1104125640 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | |
Business Practice Address: | 883 Paddock Ave Meriden, CT - 064507044 |
Business Phone Number: | 2036305209 |
Business Fax Number: | |
Mailing Address: | 883 Paddock Ave, MERIDEN |
State: | CT |
Postal Code: | 064507044 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/23/2011 |
NPI Last Update Date: | 05/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |