| Organization Name: | LAURA WHITNEY PSYCHOLOGICAL SERVICES |
| NPI Number: | 1336214899 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURA WHITNEY (LICENSED PSYCHOLOGIST) |
| Mailing Address: | 11206 Long Lake Rd Nashwauk |
| State: | MN US |
| Postal Code: | 557694423 |
| Phone Number: | 2182636600 |
| Fax Number: | 2182636600 |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | LP3078 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |