| Doctor Name: | DR. LAURA HALVORSEN |
| NPI Number: | 1972811289 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 10230 |
| Business Practice Address: | 514 South St Bow, NH - 033043419 |
| Business Phone Number: | 6038568163 |
| Business Fax Number: | |
| Mailing Address: | 514 South St, BOW |
| State: | NH |
| Postal Code: | 033043419 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2010 |
| NPI Last Update Date: | 01/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 10230 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |