| Doctor Name: | DR. LAURA SEJUD |
| NPI Number: | 1164823613 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 36778 |
| Business Practice Address: | 2201 Se Loop 820 Ft Worth, TX - 761195863 |
| Business Phone Number: | 8177300463 |
| Business Fax Number: | |
| Mailing Address: | 2821 Quarter Horse Ln, CELINA |
| State: | TX |
| Postal Code: | 750094617 |
| Phone Number: | 3038176466 |
| Fax Number: | |
| NPI Enumeration Date: | 09/15/2014 |
| NPI Last Update Date: | 09/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 36778 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |