Doctor Name: | MS. LAURA E DOLPH |
NPI Number: | 1275588295 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 39001734A |
Business Practice Address: | 132 E Main St Suite 200 Crawfordsville, IN - 479331728 |
Business Phone Number: | 7653628980 |
Business Fax Number: | 7653628980 |
Mailing Address: | Po Box 229, CRAWFORDSVILLE |
State: | IN |
Postal Code: | 479330229 |
Phone Number: | 7653628980 |
Fax Number: | 7653628980 |
NPI Enumeration Date: | 05/24/2006 |
NPI Last Update Date: | 12/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 39001734A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |