| Doctor Name: | DR. LAURA SPRAGUE ANDERSON |
| NPI Number: | 1134460926 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | PSY 680 |
| Business Practice Address: | 4-1435 Kuhio Hwy Suite 201 Kapaa, HI - 967461745 |
| Business Phone Number: | 8086391404 |
| Business Fax Number: | 8088224412 |
| Mailing Address: | Po Box 1237, KILAUEA |
| State: | HI |
| Postal Code: | 967541237 |
| Phone Number: | 8086391404 |
| Fax Number: | 8088224412 |
| NPI Enumeration Date: | 03/05/2013 |
| NPI Last Update Date: | 03/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY 680 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |