Doctor Name: | MS. LAURA MARIE MCQUEENEY |
NPI Number: | 1588714000 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, NCC, LPC |
License Number: | |
Business Practice Address: | 5 Hart St New Britain, CT - 060521701 |
Business Phone Number: | 8602294850 |
Business Fax Number: | 8608273472 |
Mailing Address: | 15 Pinnacle Rd, PLAINVILLE |
State: | CT |
Postal Code: | 060621432 |
Phone Number: | 8603515780 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 01/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |