Doctor Name: | DR. LAURE LINDOR |
NPI Number: | 1336205152 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 3902 |
Business Practice Address: | 1525 Blue Hill Ave Mattapan, MA - 021261702 |
Business Phone Number: | 6172961700 |
Business Fax Number: | 6176964653 |
Mailing Address: | 1525 Blue Hill Ave, MATTAPAN |
State: | MA |
Postal Code: | 021261702 |
Phone Number: | 6172961700 |
Fax Number: | 6176964653 |
NPI Enumeration Date: | 12/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3902 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |