| Doctor Name: | MRS. LAURA KRISTINE RICHTER |
| NPI Number: | 1265763502 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 52975 |
| Business Practice Address: | 650 Scarbourough Canyon Lake, TX - 781334529 |
| Business Phone Number: | 8309644390 |
| Business Fax Number: | 8309644391 |
| Mailing Address: | 650 Scarbourough, CANYON LAKE |
| State: | TX |
| Postal Code: | 781334529 |
| Phone Number: | 8309644390 |
| Fax Number: | 8309644391 |
| NPI Enumeration Date: | 01/27/2010 |
| NPI Last Update Date: | 07/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 52975 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |