| Doctor Name: | LAURA KHOURY |
| NPI Number: | 1902110877 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 27356 |
| Business Practice Address: | 23981 Sherilton Valley Rd Descanso, CA - 919169740 |
| Business Phone Number: | 6194450405 |
| Business Fax Number: | 6194454916 |
| Mailing Address: | 823 Gateway Center Way, SAN DIEGO |
| State: | CA |
| Postal Code: | 921024541 |
| Phone Number: | 6199064623 |
| Fax Number: | 6199064564 |
| NPI Enumeration Date: | 08/03/2010 |
| NPI Last Update Date: | 11/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 27356 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |