| Doctor Name: | LAURA JOHANNA COLON |
| NPI Number: | 1144345430 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D |
| License Number: | 2738 |
| Business Practice Address: | Legacy Office Park Suite 102 Coto Laurel, PR - 007800000 |
| Business Phone Number: | 7876030408 |
| Business Fax Number: | 7878415607 |
| Mailing Address: | 66 Calle Quinta Real, Urb. Camino Real JUANA DIAZ |
| State: | PR |
| Postal Code: | 007959308 |
| Phone Number: | 7876030408 |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 10/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2738 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |