Doctor Name: | MRS. LAURA LYNN KOHLEY |
NPI Number: | 1992961627 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 075639 |
Business Practice Address: | Route 202 & Lovell Street Lincolndale, NY - 10540 |
Business Phone Number: | 2036160606 |
Business Fax Number: | 8452786905 |
Mailing Address: | 79 Linda Ln, BETHEL |
State: | CT |
Postal Code: | 068011636 |
Phone Number: | 2036160606 |
Fax Number: | 8452786905 |
NPI Enumeration Date: | 08/01/2008 |
NPI Last Update Date: | 09/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 075639 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |