Doctor Name: | MS. LAURA JO STEWART-WYATT |
NPI Number: | 1780885475 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | |
Business Practice Address: | 3103 Airport Blvd Suite 410 Mobile, AL - 366063664 |
Business Phone Number: | 2514702540 |
Business Fax Number: | 2514702541 |
Mailing Address: | 336 Azalea Cir W, MOBILE |
State: | AL |
Postal Code: | 366082764 |
Phone Number: | 2514702550 |
Fax Number: | 2514702541 |
NPI Enumeration Date: | 05/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |