| Doctor Name: | LAURA PEROUTKA GREENWOOD |
| NPI Number: | 1316262314 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, ATR |
| License Number: | 5381 |
| Business Practice Address: | 425 Marshall Ave Webster Groves, MO - 631191833 |
| Business Phone Number: | 3147302780 |
| Business Fax Number: | 3149637703 |
| Mailing Address: | 425 Marshall Ave, WEBSTER GROVES |
| State: | MO |
| Postal Code: | 631191833 |
| Phone Number: | 3147302780 |
| Fax Number: | 3149637703 |
| NPI Enumeration Date: | 04/01/2010 |
| NPI Last Update Date: | 03/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 5381 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |