| Doctor Name: | DR. MARQUERITE PETRANELLA LABAN |
| NPI Number: | 1659472090 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | LC1232 |
| Business Practice Address: | 9475 Deereco Rd Suite 206 Lutherville Timonium, MD - 210932118 |
| Business Phone Number: | 4105606135 |
| Business Fax Number: | 4105606136 |
| Mailing Address: | 9475 Deereco Rd, Suite 206 LUTHERVILLE TIMONIUM |
| State: | MD |
| Postal Code: | 210932118 |
| Phone Number: | 4105606135 |
| Fax Number: | 4105606136 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 05/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LC1232 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |