Doctor Name: | LAURA KWASNIEWSKI |
NPI Number: | 1134566524 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 607 Pleasant St Suite 115 Attleboro, MA - 027032570 |
Business Phone Number: | 5082234691 |
Business Fax Number: | |
Mailing Address: | 70 Kennedy Plz, Unit 2 PROVIDENCE |
State: | RI |
Postal Code: | 029032016 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/27/2013 |
NPI Last Update Date: | 05/27/2013 |
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: |