Doctor Name: | MS. LAURA KAY DISANTIS |
NPI Number: | 1154721207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | PC007409 |
Business Practice Address: | 365 Franklin Hill Rd Kittanning, PA - 162018921 |
Business Phone Number: | 7245431888 |
Business Fax Number: | 7245431898 |
Mailing Address: | 365 Franklin Hill Rd, KITTANNING |
State: | PA |
Postal Code: | 162018921 |
Phone Number: | 7245431888 |
Fax Number: | 7245431898 |
NPI Enumeration Date: | 08/26/2014 |
NPI Last Update Date: | 08/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC007409 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |